AIM: To observe the clinical efficay and patients' satisfaction of layered suture and conventional suture contrastively in lower eyelid trichiasis correction operation.

METHODS:Sixty-nine patients(138 eyes)with congenital lower eyelid trichiasis in our hospital from June 2014 to January 2015 were treated with skin-orbicularis resection. According to the different incision suture,69 patients were divided into two groups, observation group(35 patients with 70 eyes)and control group(34 patients with 68 eyes). Patients in observation group accepted layered suture,those in control group accepted conventional suture. The follow up lasted for 6mo for all patients. The efficacy and patients' satisfaction for surgery were evaluated at 1wk, 1 and 6mo postoperatively. We compare the changes between the groups by χ² test and Fisher's exact test.

RESULTS:At 1wk,1 and 6mo postoperatively,the cure rate of observation group was 98.57%, the rate of patients' satisfaction were 68.12%,97.10%,98.55% respectively. The cure rate of control group was 98.53%, the rate of patients' satisfaction were 14.93%,56.72%,88.06%. Cure rates had no significant difference at 1wk, 1 and 6mo postoperatively between the two groups(P>0.05). The rates of patients' satisfaction had significant differences at 1wk, 1 and 6mo postoperatively(P<0.05). Patients' satisfaction of the observation group was stable at 1wk postoperatively, that of the control group was improved obviously during the follow-ups.

CONCLUSION:On the treatment for congenital lower eyelid trichiasis, layered suture not only cure trichiasis, but also significantly improve the patients' satisfaction at early state after surgeries.