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目的观察Schimek法联合睑轮匝肌下移术矫正老年性痉挛性下睑内翻的临床效果。方法 38例(38只眼)老年性痉挛性下睑内翻患者,施行Schimek手术治疗,同时将睑板前轮匝肌束下移固定缝合在下睑板下缘及眶隔膜上,以矫正下睑内翻,所有患者随访6个月以上观察临床疗效。结果 35只眼下睑内翻矫正效果满意;2只眼效果良好;1只眼复发,经再次手术获得满意效果。结论 Schimek法联合睑轮匝肌下移术矫正老年性下睑内翻手术创伤小,恢复快,效果良好。
Objective To observe the clinical effect of Schimek’s method combined with subvallar orbicularis pedis to correct senile spasmodic entropion. Methods Thirty-eight patients (38 eyes) with senile spasmodic entropion were treated with Schimek operation. At the same time, the tarsal muscle bundle was transferred to the inferior margin of the lower tarsal plate and the orbital septum to correct the lower eyelid Inversion, all patients were followed up for more than 6 months to observe the clinical efficacy. Results 35 eyes under the effect of correct correction of the lower eyelid; 2 eyes with good results; 1 eye recurrence after re-operation to obtain satisfactory results. Conclusions Schimek ’s method combined with subluxation of the orbicularis oris muscle to correct the trauma of senile inferior entropion is quick and the recovery is good.