关键词: 下睑赘皮, 下睑内翻, 手术矫正

Abstract: Objective Try to classify congenital epiblepharon combined entropion, and to observe the surgical effect of the surgical design according to the classification. Design Prespective case series. Participants 122 patients (232 eyes) with congenital epiblepharon combined entropion were performed surgical treatment in Beijing Tongren Hospital from January 2017 to December 2018. Methods Congenital epiblepharon combined entropion was divided into three types: medial, central and diffuse. The diorthosis of epiblepharon combined entropion with small incision in the medial type, the correction of epiblepharon combined entropion with “crescent incision” in the central type, and the correction of epiblepharon combined entropion with full length incision in diffuse type were performed. The definition of effectiveness was that the eyelid position was normal one month after the operation; the lower eyelid lashes deviate from the eyeball surface with no touch of the cornea; the corneal irritation symptoms such as photophobia, tears, eye tingling disappear, and the corneal staining was negative. The definition of relapse was the recurrence of eyelashes back to the eyeball and corneal irritation 1 month after operation. The follow-up time was 24 months. Main Outcome Measures Effective rates and recurrence rate. Results 122 cases (232 eyes) were performed surgical treatment. In which, 98 eyes (42.24%) was medial type. 20 eyes (8.62%) was central type, and  114 eyes (49.14%)  was the diffuse type, all of which were successfully operated. All of them were followed up for 24 months, and the effective rate was 100%. Recurrence: 2 eyes (2.04%) in the medial type group and 2 eyes (1.75%) in the diffuse type group relapsed with no relapse in the central group. Conclusion The satisfactory results could be obtained by selecting the corresponding surgical design for congenital epiblepharon combined entropion with different types.

Key words: epiblepharon, entropion, surgical correction