Observation on the Curative Effect of Deep Fixation Combined with Gray Line Incision on Senile Lower Eyelid Entropion and Trichiasis

This paper aims to investigate the effect of deep fixation combined with gray line incision on senile lower eyelid entropion and trichiasis. From June 2022 to June 2024, 72 cases (94 eyes) of senile entropion patients were selected as observation group and control group, 36 cases (47 eyes) in each group. The control group was treated with simple deep fixation, while the observation group was treated with deep fixation combined with gray line incision. After the end of surgical treatment, the treatment effect of the two groups of patients was compared. The patients were followed up for 3~72 months, and the recurrence rate was compared. The improvement of ocular symptoms (ODSI) and postoperative complications were analyzed. Palpebral margin was perpendicular to eyeball, irritation symptoms subsided, eyelashes grew downward and forward, avoiding contact with upper eyelid skin and eyeball surface, otherwise it was regarded as recurrence. After targeted treatment, 16 of 47 eyes of elderly patients in the observation group relapsed, while 31 eyes were cured. The recurrence rate was 34.04%, and the cure rate was 65.96%. In the observation group, all patients had recurrence, so 47 eyes of 36 patients were cured, so the recurrence rate was 0.00%, and the cure rate was 100.00%. The recurrence rate of observation group was lower than that of control group, and the cure rate was higher than that of control group (P<0.05); compared with control group, the incision pain caused by traction in observation group was lighter, and the eyelash turnover angle was larger, but the early gray line incision might affect the appearance. Eversion of the eyelids is rare and mild. When the stitches are removed, the eyelid margin will be widened, but it will not affect the appearance. With the passage of time, the gray line incision will gradually merge with the color of eyelid margin, and the original appearance of "double eyelid" will gradually fade within 3 to 6 months after suture removal;the score of eye symptom improvement in observation group is lower than that in control group, and the postoperative complications in observation group are 8.33% lower than that in control group (P<0.05). Deep fixation combined with gray line incision is helpful to improve the recovery speed, relieve discomfort during treatment, improve the quality of daily life and reduce the recurrence rate of senile lower eyelid entropion and trichiasis. The treatment effect is good, the incision pain is light, the eyelashes are turned forward and downward, the early gray line incision affects the appearance, the eyelid ectropion is less and light, the postoperative complications are reduced, and the ocular symptoms are improved. It has clinical application value.