Abstract：
To report the efficacy of skin-redraping epicanthoplasty combined with the modified Hotz procedure for the management of recurrent trichiasis in adults caused by congenital entropion.
A retrospective chart review of nine recurrent trichiasis patients caused by congenital entropion was performed. All the patients were adults, and the follow-up period lasted more than 6 months. Success was defined as no recurrence of the trichiasis.
The mean age of the patients was 22.7 ± 2.83 years, and the mean period of follow-up was 10.8 ± 4.15 months. The complete correction of trichiasis was observed in all patients, and there was no recurrence during the follow-up period. The ratio of the medial sclera area to the cornea area was enhanced from 0.25 ± 0.08 to 0.37 ± 0.11. Preoperatively, five patients were categorized as grade 2, and four patients were categorized as grade 3 of the Taylor classification, and all the patients were categorized as grade 0 after surgery. The preoperative severity of keratopathy was grade 3 in six patients and grade 2 in three patients. The preoperative lower lid horizontal skin fold heights were class 4 in six patients and class 3 in three patients. All the patients were grade 0 and class 1 after surgery.
Skin-redraping epicanthoplasty combined with the modified Hotz procedure is reasonably successful in managing recurrent trichiasis in adults.
A retrospective chart review of nine recurrent trichiasis patients caused by congenital entropion was performed. All the patients were adults, and the follow-up period lasted more than 6 months. Success was defined as no recurrence of the trichiasis.
The mean age of the patients was 22.7 ± 2.83 years, and the mean period of follow-up was 10.8 ± 4.15 months. The complete correction of trichiasis was observed in all patients, and there was no recurrence during the follow-up period. The ratio of the medial sclera area to the cornea area was enhanced from 0.25 ± 0.08 to 0.37 ± 0.11. Preoperatively, five patients were categorized as grade 2, and four patients were categorized as grade 3 of the Taylor classification, and all the patients were categorized as grade 0 after surgery. The preoperative severity of keratopathy was grade 3 in six patients and grade 2 in three patients. The preoperative lower lid horizontal skin fold heights were class 4 in six patients and class 3 in three patients. All the patients were grade 0 and class 1 after surgery.
Skin-redraping epicanthoplasty combined with the modified Hotz procedure is reasonably successful in managing recurrent trichiasis in adults.
摘要：
目的：报告皮肤重涂外皮成形术联合改良Hotz术式治疗成人先天性内翻所致复发性倒车灯的疗效。
方法：对9例因先天性内翻引起的复发性倒车灯患者进行回顾性分析。所有的病人都是成年人,随访时间超过6个月。成功被定义为无倒车灯复发。
结果：患者的平均年龄为22.7±2.83岁，平均随访时间为10.8±4.15个月。在所有患者中观察到倒车灯的完全矫正，随访期间无复发。内侧巩膜面积与角膜面积的比率从0.25±0.08增加到0.37±0.11。术前,五名患者被归类为2级，四名患者被归类为泰勒分类的3级，所有患者术后均被归类为0级。术前角膜病变的严重程度在6例患者中为3级，在3例患者中为2级。术前下眼睑水平皮肤褶皱高度在6例患者中为4级，在3例患者中为3级。所有患者术后均为0级和1级。
结论：皮肤重涂外皮成形术联合改良Hotz手术在治疗成人复发性倒车灯方面相当成功。
方法：对9例因先天性内翻引起的复发性倒车灯患者进行回顾性分析。所有的病人都是成年人,随访时间超过6个月。成功被定义为无倒车灯复发。
结果：患者的平均年龄为22.7±2.83岁，平均随访时间为10.8±4.15个月。在所有患者中观察到倒车灯的完全矫正，随访期间无复发。内侧巩膜面积与角膜面积的比率从0.25±0.08增加到0.37±0.11。术前,五名患者被归类为2级，四名患者被归类为泰勒分类的3级，所有患者术后均被归类为0级。术前角膜病变的严重程度在6例患者中为3级，在3例患者中为2级。术前下眼睑水平皮肤褶皱高度在6例患者中为4级，在3例患者中为3级。所有患者术后均为0级和1级。
结论：皮肤重涂外皮成形术联合改良Hotz手术在治疗成人复发性倒车灯方面相当成功。
