Transverse tarsotomy and lid margin rotation is a simple procedure that is effective in repositioning the entropic lid margin without requiring external incisions or grafting. We report the results of this procedure in 81 eyelids of 58 patients with cicatricial entropion and trichiasis who were followed up for a minimum of 6 months after surgery. Fifty-nine (94%) of sixty-three eyelids with mild to moderate cicatricial entropion were cured with this procedure. Patients with severe cicatricial entropion had a lower success rate with initial tarsotomy (55%), but in these patients the procedure had minimal complications and repeating the operation resulted in a higher success rate. Tarsotomy and lid margin rotation produces excellent cosmetic and functional results when used to treat patients with mild to moderate cicatricial entropion. In cases of more severe cicatricial entropion, we still recommend it as the initial procedure after which more complex modalities may be used if needed.
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Entropion.
Tidsskr Nor Laegeforen
December 2024
Øyeavdelingen, Drammen sykehus, Vestre Viken, og, Øyeavdelingen, Oslo universitetssykehus, og, Øyeavdelingen, Stavanger universitetssjukehus, og, Øyeavdelingen, Sørlandet sykehus, Arendal, og, Øyeavdelingen, Sykehuset i Vestfold, og, Øyeavdelingen, Sykehuset Østfold.
Entropion, or the inward turning of the eyelid, is common, particularly in older patients. The condition is classified as involutional, cicatricial, spastic or congenital. Involutional entropion is most common and typically treated with lateral tarsal strip, which may be combined with other techniques for eyelid eversion.
View Article and Find Full Text PDFBuccal fat pedicle flap with a delayed tarsoconjunctival flap for lower eyelid retraction: a new surgical methodology.
Orbit
October 2024
Department of Surgery, Trauma and Emergency Subspecialty Surgeons, Denver, Colorado, USA.
Purpose: The aim of this retrospective case review is to present a novel surgical technique used in the treatment of recalcitrant lower eyelid retraction.
Methods: This study was performed as a retrospective case review of 4 patients who have failed standard conservative surgical interventions for lower eyelid retraction repair. 3 patients developed lower eyelid retraction following surgical intervention for orbital trauma and 1 patient developed lower eyelid retraction in the setting of granulomatosis with polyangiitis.
Long-term outcomes of eyelash-sparing surgical technique for severe segmental cicatricial entropion.
Eur J Ophthalmol
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Hariram Motumal Nasta & Renu Hariram Nasta Ophthalmic Plastic Surgery Services, LV Prasad Eye Institute, Hyderabad, Telangana, India.
Article Synopsis
- A study evaluated the long-term effectiveness of anterior lamellar recession (ALR) with mucous membrane graft (MMG) for correcting severe segmental cicatricial entropion in 16 patients, primarily affected by Stevens-Johnson Syndrome and chemical injuries.
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Treatment of Eyelid Entropion: A Historical Review.
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Department of Ophthalmology and Visual Sciences, Washington University School of Medicine, St. Louis, Missouri, U.S.A.
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Neuroscience (NEUROS) Research Group, Neurovitae Research Center, Institute of Translational Medicine (IMT), School of Medicine and Health Sciences, Universidad del Rosario, Bogota, Colombia.
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