Abstract:

Objective To observe the curative effect of part of the skin and orbicularis muscle resection combined with eyelash valgus mattress suture on the children with lower eyelid trichiasis. Design Retrospective case series. Partcipants 200 cases (400 eyes) with lower eyelid trichiasis in Beijing Tongren Eye Center from June 2013 to February 2016, 3-10 years old, with an average age of 5.56±2.30 years. Methods Application of lower eyelid skin and orbicularis resection amount, eyelash valgus mattress suture, skin continuous suture, some patients with gray line incision, 400 eyes of 200 cases in the treatment of lower eyelid trichiasis. All patients were followed up for a period of 6 to 12 months. Main Outcome Measures Eyelash position, photophobia, tear, corneal epithelium damage, position and morphology of the eyelid, with or without lacrimal point valgus, lower eyelid depressed scar, with or without lower double eyelid. Results All patients with postoperative correction of trichiasis, 200 cases of patients with postoperative follow-up of 6 months, no recurrent trichiasis. 170 patients were followed for 12 months, and 1 case was recurrence. After surgery, the patient’s photophobia and tears disappear. Corneal epithelium healing, no entropion and ectropion, no skin depressed scar, no obvious lower double eyelid, good appearance. Conclusion The low eyelid trichiasis surgery program, putting off skin amount, incisioning accurate design, eyelash valgus mattress suturing, skin continuous suturing, and the application of gray line incision, not only make the lower eyelid trichiasis corrected, but also let the children have good appearance.

Key words: lower eyelid trichiasis/surgery, valgus eyelash mattress suture, children