Abstract：
<b><br>Introduction:</b> The imbalance of external and internal forces acting on the lower eyelid can result in entropion and ectropion, both of which cause ocular irritation and loss of proper eye protection. Potential complications of untreated cases include recurrent inflammation of the conjunctiva and cornea, conjunctival neovascularization, corneal abrasion or perforation, and ultimately even loss of vision. Although various surgical techniques are used to address this problem, their long-term outcome and effectiveness are still under discussion. </br> <b><br>Aim:</b> To evaluate outcomes of surgery for entropion and ectropion, including a modified Wheeler\'s method for entropion correction.</br> <b><br>Methods:</b> A non-comparative study (prospective and retrospective groups) included 100 patients operated on in two university hospitals\' plastic surgery departments for lower eyelid entropion or ectropion, following formal ethics approval. The prospective group included 50 patients assessed preoperatively and at 3 and 12 months postoperatively. The retrospective group was comprised of 50 patients (2012-2018), whose preoperative documentation and clinical examinations were analyzed. The main outcome measures were change between pre- and postoperative patient-reported symptoms (VAS scale), ectropion/entropion grading scale (EGS/EnGS), quality of life (WHOQOL-BREF), and occurrence of complications.</br> <b><br>Results:</b> The differences in the severity of all symptoms before and after surgery evaluated with the VAS scale were statistically significant in both groups (p <0.05). We observed 6 recurrences (12%) in the prospective group and 9 (18%) in the retrospective group, with minor complications. Very good functional and esthetic postoperative results were confirmed in 70% (79) of the whole group and in 13 patients (81.3%) treated with the modified Wheeler\'s method. In the prospective group, the Mann- Whitney U test for dependent variables revealed significant improvement in the somatic, psychological, and environmental domains, with no significant change in the social relationships domain.</br> <b><br>Conclusions:</b> The results following entropion/ectropion surgery prove the effectiveness of the methods used. Complementing them with the modified Wheeler\'s method brought an increase in the number of very good outcomes. Surgery of lower eyelid malposition contributed to reduced symptoms and improved quality of life. The rates of postoperative sequelae were low.</br>.
摘要：
<b>br>简介:</b>作用于下眼睑的外力和内力的不平衡会导致内翻和外翻,这两者都会引起眼睛刺激和失去适当的眼睛保护。未经治疗的病例的潜在并发症包括结膜和角膜的复发性炎症，结膜新生血管,角膜擦伤或穿孔，最终甚至丧失视力。虽然各种手术技术被用来解决这个问题，他们的长期结果和有效性仍在讨论中。</br><b>br>目的：包括改良的Wheeler方法进行腹上肢矫正.</br><b><br>方法：</b>一项非比较研究（前瞻性和回顾性研究）包括在两家大学医院整形外科进行下睑内翻或外翻手术的100例患者，在正式的道德批准之后。前瞻性组包括50例术前和术后3和12个月评估的患者。回顾性组包括50例患者(2012-2018年)，分析其术前文件和临床检查。主要结局指标为术前和术后患者报告症状之间的变化（VAS量表），外翻/内翻分级量表（EGS/EnGS），生活质量（WHOQOL-BREF），以及并发症的发生。</br><b><br>结果:</b>两组患者手术前后症状严重程度差异均有统计学意义(p<0.05)。我们在前瞻性组中观察到6例复发（12％），在回顾性组中观察到9例复发（18％），轻微的并发症。在全组的70％（79）和使用改良的Wheeler方法治疗的13例患者（81.3％）中，证实了非常好的功能和美学效果。在准团体中，因变量的Mann-WhitneyU检验揭示了体细胞的显着改善，心理,和环境领域，社会关系领域没有显著变化。</br><b>br>结论：</b>内翻/外翻手术后的结果证明了所使用方法的有效性。用改进的惠勒方法补充它们带来了非常好的结果数量的增加。下眼睑错位手术有助于减轻症状并改善生活质量。术后后遗症发生率低。</br>.
