Objective: To analyze the long-term results after the correction of the paralytic ectropion in leprosy.
Methods: Seventy-four patients with 115 paralytic ectropion eyes after leprosy were treated with the surgical procedures included medial canthoplasty, medial canthal tendon plication, lateral tarsal strip, medial canthal resection, lateral canthoplasty, and lid shortening. The results were evaluated with the follow-ups from 2 to 4 years.
Results: The eye-redness was reduced from 93 to 40 while the epiphora from 107 eyes (24 mild, 36 moderate and 47 severe) to 90 (40 mild, 32 moderate and 18 severe). The mean lid gap in mild eye closure was reduced from 6.8 mm to 5.3 mm and the cornea lesion was reduced from 53 to 36. The results were excellent in 18 eyes (15.7%), good in 45 eyes (39.1%), fair in 41 eyes (35.7%) and poor in 11 eyes (9.6%). However, the mean visual acuity remained same pre- and postoperatively.
Conclusions: Surgical correction of ectropion is helpful for cornea protection and could improve the signs and symptoms of the eyes such as epiphora and red [abstract truncated].
Download full-text PDF |
Source |
|---|
Publication Analysis
Top Keywords
Similar Publications
Combining early lower eyelid surgery with neuromuscular retraining for synkinesis prevention after facial palsy: the role of the eye in aberrant facial nerve regeneration.
Front Neurol
September 2024
Department of Otolaryngology-Head and Neck Surgery, University of Michigan Medical School, Ann Arbor, MI, United States.
Article Synopsis
- Facial synkinesis (FS) is a problem where facial muscles move involuntarily when someone tries to make a facial expression, often happening after facial palsy (FP).
- The study tested whether combining physical therapy for the face with eyelid surgery helps people recover better and avoid FS compared to just using physical therapy alone.
- Results showed that patients who had both treatments recovered faster and didn't develop FS, while some patients who only had physical therapy developed FS.
Enhancing Lower Eyelid Suspension Outcomes Through Pre-surgical Facial Nerve Reanimation: A Comparative Study.
Aesthetic Plast Surg
November 2024
Department of Plastic and Reconstructive Surgery, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, 639 Zhizaoju Road, Shanghai, 200011, China.
Article Synopsis
- Lower eyelid suspension is a common procedure for correcting eyelid issues caused by facial paralysis, but it has high recurrence rates among patients without facial muscle function.
- This study involved 32 individuals with complete facial paralysis, comparing those who had facial nerve reconstruction (group A) with those who didn’t (group B) to assess the long-term effectiveness of eyelid corrections.
- Results showed that group A experienced significantly better improvements in eyelid function, indicating that restoring muscle tension before surgery could enhance and maintain treatment outcomes.
Simultaneous Reconstruction of Smiling Eye Using V-Shaped Long Latissimus Dorsi Muscle Transfer in Patients with Flaccid Facial Paralysis.
Plast Reconstr Surg
October 2024
From the Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, University of Tokyo.
Various neurovascular free muscle transfers for smile reconstruction in patients with facial paralysis have been reported. However, these methods focused on perioral smiling rather than eye smiling. Although the lower eyelid does not contribute significantly to eyelid closure, dynamic reanimation of the upward movement of the lower eyelid with bulging of the malar region during smiling is important in smile reconstruction.
View Article and Find Full Text PDFClinical Importance of the Lateral Tarsal Strip Procedure by a Single Experienced Oculoplastic Surgeon: 8 Years of Experience in a Tertiary Medical Center (Cross-Sectional Study).
J Craniofac Surg
October 2023
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea.
Lateral tarsal strip (LTS) is a simple surgical technique that can correct eyelid malposition. Clinical indications vary from involutional entropion and ectropion, lower eyelid laxity, and lower eyelid retraction to punctal and paralytic ectropion. Lateral tarsal strip mainly treats eyelid malposition by correcting horizontal laxity.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!