ĐÁNH GIÁ HIỆU QUẢ PHẪU THUẬT QUẶM MI Ở NGƯỜI LỚN TUỔI BẰNG CÁCH TÁI TẠO CHỖ BÁM CÂN CƠ MI DƯỚI VÀ TẠO HÌNH GÓC NGOÀI

Abstract

Introduction: Entropion is a condition where the eyelid margin turns inward toward the eye, causing the eyelashes rubbing against the corneal surface. This can lead to complications such as corneal epithelial abrasions, corneal ulcers, or more serve - blindness. Age-related changes the structure of the loewer eyelid, such as loosening of the tissues, eyelid muscles, ligaments, and the lower tarsal plate, are the primary causes of ectropion in the elderly. The two main causes are reduced horizontal tension due to laxity of the eyelid, detachment of the lateral canthal ligament, and reduced vertical tension due to atrophy or loosening of the attachment of the lower eyelid muscles. The most common surgical methods include eyelid everting suture, Jones procedure ,Quickert, Lateral tarsal strip and Wheeler technique. However, these methods typically address only one of the two causes of ectropion, either vertical or horizontal. In The Eye Hospital of Ho Chi Minh City, at Surgery Comestic and Neuro Optic Department, We apply the treatment of entropion in the elderly by using the surgical method of reconstructing the attachment of the capsulo palpebral fascia, as it addresses both mechanism causing entropion in this group age. This combination technique wil enhance treatment effectiveness and prevent recurrence. Objective: Evaluation the effectiveness and safty of The Reconstruction of lower capsulo palpebral fascia technique combine with lateral tarsal strip in Involutional Entropion. Study methods: Prospective case series.We included 35 eyes of 25 patients with involutional entropion. Results: Successful rate after 1 week is 97,1%, 94,3% after 1,3,6 months. No record of recuurence after 6 months of treatement. Ectropion rate is 5,7%. No record of serve complication (infection, scarring,...). Conclusion: Treatment of involutional (senile) entropion has numerous surgical techniques have been employed. To maximize recurrence prevention and improve treatment quality, reconstruction of the lower capsulo-palpebral fascia combined with a lateral tarsal strip has yielded favorable outcomes and can be widely applied to definitively address the mechanisms of entropion.