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目的：探讨改良眼轮匝肌缩短术治疗先天性睑内翻的临床疗效后。方法先天性睑内翻患者24例45眼，均采用改良眼轮匝肌缩短术，其中2例4眼曾行眼睑穹窿皮肤缝线术后复发。结果24例45眼术后矫正满意35眼（78％），基本满意5眼（11％），轻度过矫3眼（6％），轻度欠矫2眼（4％）。10例角膜点状混浊者 l ～2个月上皮完全恢复，7例明显流泪者症状完全消失。随访6～12个月，术后患者及家长均满意，患者不适症状完全消失的同时取得了较好的美容效果。结论改良眼轮匝肌缩短术是治疗先天性睑内翻的一种新的有效术式，术后不易复发，效果肯定。“,”Objective To investigate the modified blepharosphincterectomy in the treatment of congenital entropion. Methods 24 patients (45 eyes)of congenital entropion were treated with modified blepharosphincterectomy,in which 2 cases (4 eyes)underwent previous fornix-based suture placement but recurred.Results Among 45 eyes of 24 patients,postoperative correction achieved satisfactory in 35 eyes (78%),mild satisfactory in 5 eyes (11%),mild overcorrection in 3 eyes (6%),and mild undercorrection in 2 eyes (4%).10 cases of corneal epithelial punctate opac-ity recovered completely 1-2 months after the surgery and 7 cases of obvious tear symptoms disappeared completely. Patients were followed up for 6-12 months after the operation.The patients and their parents were all satisfied with the surgical results,and good cosmetic effect.Conclusion Modified blepharosphincterectomy is a new effective method to treat congenital entropion.