目的　探讨颞侧睑板固定联合眼轮匝肌缩短在复发性老年下睑内翻的临床效果。  方法　选取2014年7月~2017年1月就诊于本院眼科的复发性老年下睑内翻患者，共28例31眼, 年龄59~84岁（平均70.2岁）。对所有患者行颞侧睑板固定联合眼轮匝肌缩短术。分别观察术后1、3、6、12月的手术效果及复发率。  结果　术后1月，3眼出现轻度过矫；术后3月，1眼形态恢复正常，2眼仍存在轻度过矫；术后6月，所有眼形态恢复正常。术后1年随访未出现复发。  结论　颞侧睑板固定联合眼轮匝肌缩短治疗复发性老年下睑内翻的疗效可靠、稳定。

Objective　To investigate the clinical effect of temporal palpebral plate fixation combined with shortening of the orbiculus in recurrent aged patients with lower eyelid varus.　Methods　We selected 28 cases (31 eyes) with recurrent lower eyelid turnover in the elderly who were admitted to our hospital from July 2014 to January 2017，aged 59~84 years (average 70.2 years). All patients were treated with temporary side eyelid plate fixation combined with shortening of the orbiculus muscle. The operative effect and recurrence rate 1，3，6 and 12 months after operation were observed respectively.　Results　One month after the operation, three eyes showed mild overcorrection. Three months after the operation, one eye returned to the normal shape, and two eyes still retained mild overcorrection. Six months after the operation, all eyes returned to the normal shape. There was no recurrence during the follow-up period of one year.　Conclusion  The treatment of recurrent lower palpebral varus in the elderly is reliable and stable with temporal palpebral plate fixation combined with shortening of the  orbiculus.