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报告激光治疗倒睫44例,26例治疗效果满意无合并症。眼睑倒睫部位用2%利多卡因加1∶100 000肾上腺素局部麻醉,用棉签使睑缘外翻远离眼球,在裂隙灯下用氩激光烧灼倒睫及其毛囊,瞄准光的焦点对准睫毛毛囊,烧灼逐渐地深达眼睑实质,能量1.0W,光斑50μm,持续时间0.2秒,蓝-绿波(?)。最初激光烧灼常常是汽化睫毛和在睑缘产生小的褐色斑,每个毛囊烧灼20～30次,少数病例光斑为100μm,如睫毛的毛囊色素少,可防碍激光能量的吸收,此时可点一滴墨水到睫毛,使其容易吸收烧灼的能量,激光治疗后,睑缘涂用抗生素软膏,每日2～3次。
Report 44 cases of laser treatment of trichiasis, 26 cases of satisfactory treatment without complications. Eyelid trichiasis site with lidocaine plus 2% 1: 100 000 epinephrine local anesthesia, eyelid valgus with a cotton swab away from the eye, the laser light in the slit lamp burning trichiasis and its hair follicles, aimed at the focus of light alignment Eyelash hair follicles, burning gradually deep parenchyma, energy 1.0W, spot 50μm, duration of 0.2 seconds, blue - green wave (?). Initial laser ablation is often vaporized eyelashes and small brown spots on the eyelid, each hair follicle burning 20 to 30 times, a few cases spot is 100μm, such as eyelash hair follicle pigment less, can hinder the absorption of laser energy, this time can be A drop of ink to the eyelashes, making it easy to absorb burning energy, laser treatment, eyelid coated with antibiotic ointment, 2 or 3 times a day.