青少年复发性下睑倒睫局部睫毛切除治疗.docVIP

青少年复发性下睑倒睫局部睫毛切除治疗【摘要】目的：局部睫毛切除治疗青少年复发性下睑倒睫的临床效果观察。方法：回顾性分析我科2008年2月至2010年12月25例（28眼）青少年复发性下睑倒睫行局部睫毛切除手术的临床资料；所有病例均有患眼下睑倒睫的手术史，术式为缝线法或其他方法。患者年龄8岁～35岁，平均年龄21.3岁，男15例，女10例；距上次手术的时间间隔6月至11a，平均1.2a；除3例患者矫正视力低于1.0外，其他病人矫正视力均正常；所有病人患眼角膜均有损伤。行局部睫毛切除术，即切除含倒睫的局部所有睫毛。结果：随访1月至2a，平均随访3.6月。所有病例中复发1例（1眼），复发率（按眼数计算）3.6%。所有病例中，除2例残留少许角膜云翳外，其他病例的症状均完全消失，角膜损伤均彻底痊愈。所有病人未抱怨美观的影响。结论：局部睫毛切除可彻底地解决青少年复发性下睑倒睫问题，方法简单，复发率很低，虽然其有秃睫、影响美观等缺点，但一般可以被接受。 【关键词】倒睫；手术；青少年 【中图分类号】R777.1【文献标识码】B【文章编号】1008-6455（2011）04-0337-02 Removing Local Eyelashes for Recurrent Trichasis of Lower Eyelid in Youth Xu Dongqiang Xiao Yanxia Ma Jun 【Abstract】Objective:To evaluate the surgical effect ofremoving local abnormal and normal eyelashesfor recurrent trichiasis of lower eyelid in youth.Methods: Retrospectively analyze clinical information for 25 young cases （28 eyes） with recurrent trichiasis which had been made with removing local lashes ; All cases had surgical histories for trichiasis in lower lids, and their surgical methods concluded sutures or other procedures. Ages were among 8～35 years-old, with 21.3 averagevalue , 15 males, 10 females ; Interval time between the two surgerywere among 3 months to11years , with 1.2 years average value .3 cases had declined vision lower than 1.0,all cases had corneal injury. The procedures were removing all abnormal and normal eyelashes locally.Results: Follow-up for 1 month to 2 years , with 3.6 months average value .1 recurrent case （1 eye）, recurrent rate （3.6%）。Except 2 corneal nebula , other patients symptoms had disappeared , and the corneas had recovered completely. All patients had no complaints about appearance. Conclusions: Removing local abnormal and normal eyelashes for recurrent trichiasis of lower eyelid in youth was simple , and had very low recurrent rate , beside ofthe disadvantage ofappearancewithoutlocal eyelashes, which could be accepted commonly. 【Key words】trichiasis;surgery;youth 青少年下睑倒睫是常见的眼科门诊疾患，虽然多不影响视力，但患者长期有异物感，流泪，畏光等不适，会影响学习