Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population
Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population
复制标题
DOI：
10.1097/iop.0b013e3182115229
复制
发表时间：
2011-09-01
影响因子：
2
通讯作者：
Belfort, Rubens, Jr.
中科院分区：
文献类型：
--
作者：
Damasceno, Renato Wendell;Osaki, Midori Hentona;Belfort, Rubens, Jr.
目的：确定老年人群中退化性下睑内翻和外翻的患病率;研究这些疾病与性别、年龄、肤色和眼轴地球仪投影的关系;并确定相关眼表和病理眼睑发现的发病率。方法：对24,565名老年人进行眼科调查。所有参与者都接受了普通眼科医生的眼科检查，以确定睑内翻和睑外翻。从所有退化期眼睑错位患者中收集相关眼表和眼睑病理结果的信息。对退化性睑内翻和睑外翻患者进行了眼轴地球仪投影测量。结果：退行性睑内翻的患病率为2.1%，男性为1.9%，女性为2.4%。更年期外翻的患病率为2.9%;男性为5.1%，女性为1.5%。干眼症、下拉钩松弛和浅点状角膜病变在退化性睑内翻患者中的发生率明显高于退化性睑外翻患者（p < 0.001）。退行性睑外翻患者的慢性结膜炎发生率明显高于退行性睑内翻患者（p < 0.001）。退行性睑内翻患者眼轴地球仪投影明显小于退行性睑外翻患者（p < 0.001）。结论：退行性睑内翻和睑外翻在老年人群中的患病率分别为2.1%和2.9%。眼球轴向地球仪位置在退行性下睑错位中起致病作用。（Ophthal Plast Reconstr Surg 2011; 27：317-320）
Purpose: To determine the prevalence of involutional entropion and ectropion of the lower eyelid in the elderly population; to examine how these disorders are related to gender, age, skin color, and axial ocular globe projection; and to define the incidence of associated ocular surface and pathologic eyelid findings.Methods: An ophthalmic survey was conducted in 24,565 elderly people. All participants underwent ophthalmic examination by general ophthalmologists to identify entropion and ectropion. Information about associated ocular surface and pathologic eyelid findings were collected from all patients with involutional eyelid malposition. Patients with involutional entropion and ectropion underwent measurements of the axial ocular globe projection. The Pearson chi-square test and the Mann-Whitney U test were performed.Results: The prevalence of involutional entropion was 2.1%; 1.9% in men and 2.4% in women. The prevalence of involutional ectropion was 2.9%; 5.1% in men and 1.5% in women. Dry eye syndrome, lower retractor laxity, and superficial punctate keratopathy were seen significantly more often in patients with involutional entropion than in those with involutional ectropion (p < 0.001). Chronic conjunctivitis was significantly more common in patients with involutional ectropion than in those with involutional entropion (p < 0.001). The axial ocular globe projection was significantly smaller in patients with involutional entropion than in those with involutional ectropion (p < 0.001).Conclusions: The prevalence of involutional entropion and ectropion in the elderly population is 2.1% and 2.9%, respectively. The axial ocular globe position plays a pathogenic role in involutional lower eyelid malposition. (Ophthal Plast Reconstr Surg 2011; 27: 317-320)