Background: To evaluate 4 combined techniques for entropion repair which address the horizontal laxity by either lateral tarsal strip (LTS) or Bick's procedure (BP) and the vertical laxity by everting sutures (ESs) or lower lid retractor plication (LLRP).
Methods: Retrospective, comparative consecutive clinical series. A total of 261 procedures were performed on 227 patients. Patients were divided in the following groups based on the procedure type: Group 1: LTS + ES (n = 115), Group 2: LTS + LLRP (n = 77), Group 3: BP + ES (n = 25), and Group 4: BP + LLRP (n = 44).
Results: The study cohort included 132 males and 95 females. The mean age was 76.2 ± 8.3 years. The mean follow-up was 13 months (range 3-58). At last follow-up, the cure rate was 92% in the LTS + ES and 90% LTS + LLRP groups, in contrast to 100% in BP + ES and BP + LLRP groups (P = 0.035). Overcorrection was observed in 2 patients from LTS + ES and 5 from LTS + LLRP group. There was no statistically significant difference in terms of symptoms outcomes among 4 groups. Complications were relatively minor with no statistically significant difference between the 2 groups (P = 0.13). The reoperation rate was 7% and 6.5% in groups 1 and 2 (P = 1.0), respectively, to none in groups 3 and 4.
Conclusion: Bick's procedure in conjunction with either ES or LLRP, provides a quick, simple, and effective means for addressing the main pathogenic factors of involutional entropion. This study found a lower recurrence rate and consecutive ectropion formation in Bick's compared to LTS groups.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1097/SCS.0000000000005466 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Impact of disease duration and surgical intervention on arousal networks in temporal lobe epilepsy.
J Neurosurg
January 2025
Departments of1Biomedical Engineering.
Objective: Epilepsy is a common neurological disease affecting nearly 1% of the global population, and temporal lobe epilepsy (TLE) is the most common type. Patients experience recurrent seizures and chronic cognitive deficits that can impact their quality of life, ability to work, and independence. These cognitive deficits often extend beyond the temporal lobe and are not well understood.
View Article and Find Full Text PDFAssessing the reliability and validity of pictorial-assisted 24-h recall for measuring hand hygiene and child faeces disposal: A cross-sectional study in Malawi.
Int J Hyg Environ Health
January 2025
Department of Disease Control, London School of Hygiene and Tropical Medicine, London, United Kingdom. Electronic address:
Whilst improving hygiene and sanitation behaviours is key to cost-effective and sustainable water, sanitation and hygiene interventions, measuring behaviour change remains a challenge. This study assessed the validity and reliability of pictorial 24-h recall (P24 hR), a novel method using unprompted recall of past activities through pictures, compared to structured observation for measuring handwashing with soap (HWWS) and safe child faeces disposal in rural Malawi. Data were collected from 88 individuals across 74 households in Chiradzulu district using both methods over a two-day period, with the recall period of the P24 hR corresponding to the period of structured observation completed the previous day.
View Article and Find Full Text PDFElectrode Location and Domain-Specific Cognitive Change Following Subthalamic Nucleus Deep Brain Stimulation for Parkinson's Disease.
Neurosurgery
November 2024
Department of Neurosurgery, Vanderbilt University Medical Center, Nashville, Tennessee, USA.
Background And Objectives: Deep brain stimulation (DBS) is an effective treatment for Parkinson's disease (PD) motor symptoms. DBS is also associated with postoperative cognitive change in some patients. Previous studies found associations between medial active electrode contacts and overall cognitive decline.
View Article and Find Full Text PDFEstimating the sensitivity of genomic newborn screening for treatable inherited metabolic disorders.
Genet Med
January 2025
Division of Medical Genetics and Metabolism, Massachusetts General Hospital for Children, Boston, MA; Harvard Medical School, Boston, MA. Electronic address:
Article Synopsis
- * A study identified 635 individuals with treatable inherited metabolic disorders (IMDs) and found that the overall sensitivity of NBSeq would be about 80.3%, with certain demographics showing lower rates of explanatory deleterious variant (EDV) detection.
- * The analysis estimates that NBSeq could miss between 0 and 649.9 cases of IMDs annually in the U.S., particularly affecting Black infants and those with public insurance.
Impact of a school-based water and hygiene intervention on child health and school attendance in Addis Ababa, Ethiopia: a cluster-randomised controlled trial.
BMC Med
September 2024
Department of Disease Control, Faculty of Infectious and Tropical Diseases, London School of Hygiene and Tropical Medicine, London, UK.
Background: School-based water, sanitation and hygiene (WASH) may improve the health and attendance of schoolchildren, particularly post-menarcheal girls, but existing evidence is mixed. We examined the impact of an urban school-based WASH programme (Project WISE) on child health and attendance.
Methods: The WISE cluster-randomised trial, conducted in 60 public primary schools in Addis Ababa, Ethiopia over one academic year, enrolled 2-4 randomly selected classes per school (~ 100 pupils) from grades 2 to 8 (aged 7-16) in an 'open cohort'.
Want 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!