Abstract:AIM: To investigate the various surgical techniques and their effects on correcting different types of entropion.
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.