Stellenwert der horizontalen Lidspaltung nach Wies in der Entropiumchirurgie

 

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Zusammenfassung

Die horizontale Lidpaltung nach Wies richtet sich gegen 2 der mindestens 3 wichtigen pathogenetischen Faktoren (horizontale Liderschlaffung und Überreiten des präseptalen M. orbicularis) die zum involutiven Entropium führen. Die Technik ist chirurgisch einfach, die relevanten Strukturen sind schnell und sicher identifizierbar. Anhand der verfügbaren Literatur soll kritisch bewertet werden, welchen Stellenwert diese Methode gut 50 Jahre nach ihrer Erstbeschreibung hat.

Abstract

The horizontal blepharotomy or Wies procedure is a simple and quick surgical procedure for the correction of an involutional entropion. The procedure is directed against two of the at least three most important pathogenetic factors (horizontal lid loosening and overriding the preseptal orbicularis muscle). This article gives an overview of the literature and significance of this procedure gained in the 50 years since its first description.

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PD Dr. Susanne Pitz

Augenklinik und Poliklinik, Universitätsmedizin der Johannes-Gutenberg-Universität

Langenbeckstr. 1

55131 Mainz

Phone: ++ 49/61 31/17 67 62

Fax: ++ 49/61 31/17 34 55

Email: pitz@augen.klinik.uni-mainz.de