方法：选自2011-06/2013-06共收治睑内翻倒睫患者669例1027眼。其中先天性睑内翻171例311眼，主要行睑板固定术、条形皮肤轮匝肌切除术、内眦赘皮矫正术及下睑轮匝肌增强术； 瘢痕性睑内翻260例407眼，主要行睑板固定术、部分睑板切除术及睑缘灰线劈开、下睑缩肌延长+异体巩膜植入术； 老年性或痉挛性睑内翻238例309眼，主要行下睑轮匝肌增强术。

结果：术后满意率97.2%，好转率0.7%，总有效率97.9%。其中先天性睑内翻倒睫的手术满意率97.1%，瘢痕性睑内翻倒睫的手术满意率96.6%，老年性或痉挛性睑内翻倒睫的手术满意率98.1%。手术后有22眼(2.1%)出现并发症，主要有倒睫复发、眼睑外翻、瘢痕形成、眼睑弧度不自然、双眼外观不对称等，经相应处理后患者均满意。

结论：对于不同种类型的睑内翻倒睫要采用不同的手术治疗方法。

METHODS: From June 2011 to June 2013, 1 027 eyes of 669 cases with entropion received the surgical treatment. For 171 cases(311 eyes)with congenital entropion, the surgical techniques included tarsal fixation, the resection of the strip skin and orbicularis muscle, epicanthoplasty and augmentation of orbicularis muscle of lower eyelid. While for 260 cases(407 eyes)with cicatricia entropion, the surgical techniques included tarsal fixation, the resection of part of the tarsus and the split of eyelid gray line, and lower lid retractors extension combined with implantation of allogeneic sclera. And for 238 cases(309 eyes)with spastic entropion, the surgical techniques mainly included augmentation of orbicularis muscle of lower eyelid.

RESULTS: The satisfaction rate of the operation was 97.2%, and 0.7% patients obtained got improved, so total effective rate was 97.9%. The satisfaction rates of congenital entropion, cicatricia entropion and spastic entropion were 97.1%, 96.6% and 98.1%, respectively. After the operations, 22 eyes(2.1%)had some complications, mainly involving trichiasis recurrence, ectropion, scar formation, unnatural curvature of the eyelid and asymmetric appearance of eyes. After the proper treatment, the complications were cured.

CONCLUSION: different types ofentropion trichisais need different surgical methods.