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The use of a polyglactin suture in the lateral tarsal strip procedure.
Am J Ophthalmol. 2004 Oct; 138(4):588-91.AJ

Abstract

PURPOSE

To evaluate the rate of recurrence of horizontal laxity or lid malposition and suture-related complications associated with the use of an absorbable suture in the lateral tarsal strip procedure.

DESIGN

Prospective, interventional, consecutive case series.

METHODS

A prospective study.

SETTING

Institutional.

PATIENT POPULATION

One hundred patients with horizontal lid laxity associated with ectropion or entropion. Patients with paralytic ectropion or ocular prostheses were excluded.

INTERVENTION

One hundred and five lateral tarsal strip procedures were performed using a 6-0 polyglactin suture. These were combined with full-thickness skin grafts (34), internal (55) or external (23) retractor plications, and inverting sutures (4) as required to correct the lid malposition.

MAIN OUTCOME MEASURES

Recurrence of horizontal laxity or lid malposition and suture related complications were the main outcome measures. Suture related wound infection was diagnosed clinically by the presence of pus associated with wound breakdown.

RESULTS

One patient failed to reach 3-month follow-up and was excluded. There was one recurrence of horizontal laxity after a mean follow-up period of 9.1 months. Four patients developed lateral canthal wound infections, compared with none at the other operative sites. The 95% confidence intervals for infections in the tarsal strip procedure were 1.1% to 9.6%, which were significantly greater than zero (P < .0001), the infection rate for the other procedures.

CONCLUSION

A 6-0 absorbable suture may be used for the lateral tarsal strip and does not lead to a recurrence of horizontal laxity. It does not appear to reduce the wound infection rate associated with this procedure.

Authors+Show Affiliations

Oculoplastic & Orbital Unit, Department of Ophthalmology, Royal Adelaide Hospital, University of Adelaide, Adelaide, Australia. james.hsuan@talk21.com <james.hsuan@talk21.com>No affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

15488785

Citation

Hsuan, James, and Dinesh Selva. "The Use of a Polyglactin Suture in the Lateral Tarsal Strip Procedure." American Journal of Ophthalmology, vol. 138, no. 4, 2004, pp. 588-91.
Hsuan J, Selva D. The use of a polyglactin suture in the lateral tarsal strip procedure. Am J Ophthalmol. 2004;138(4):588-91.
Hsuan, J., & Selva, D. (2004). The use of a polyglactin suture in the lateral tarsal strip procedure. American Journal of Ophthalmology, 138(4), 588-91.
Hsuan J, Selva D. The Use of a Polyglactin Suture in the Lateral Tarsal Strip Procedure. Am J Ophthalmol. 2004;138(4):588-91. PubMed PMID: 15488785.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The use of a polyglactin suture in the lateral tarsal strip procedure. AU - Hsuan,James, AU - Selva,Dinesh, PY - 2004/05/25/accepted PY - 2004/10/19/pubmed PY - 2004/11/16/medline PY - 2004/10/19/entrez SP - 588 EP - 91 JF - American journal of ophthalmology JO - Am J Ophthalmol VL - 138 IS - 4 N2 - PURPOSE: To evaluate the rate of recurrence of horizontal laxity or lid malposition and suture-related complications associated with the use of an absorbable suture in the lateral tarsal strip procedure. DESIGN: Prospective, interventional, consecutive case series. METHODS: A prospective study. SETTING: Institutional. PATIENT POPULATION: One hundred patients with horizontal lid laxity associated with ectropion or entropion. Patients with paralytic ectropion or ocular prostheses were excluded. INTERVENTION: One hundred and five lateral tarsal strip procedures were performed using a 6-0 polyglactin suture. These were combined with full-thickness skin grafts (34), internal (55) or external (23) retractor plications, and inverting sutures (4) as required to correct the lid malposition. MAIN OUTCOME MEASURES: Recurrence of horizontal laxity or lid malposition and suture related complications were the main outcome measures. Suture related wound infection was diagnosed clinically by the presence of pus associated with wound breakdown. RESULTS: One patient failed to reach 3-month follow-up and was excluded. There was one recurrence of horizontal laxity after a mean follow-up period of 9.1 months. Four patients developed lateral canthal wound infections, compared with none at the other operative sites. The 95% confidence intervals for infections in the tarsal strip procedure were 1.1% to 9.6%, which were significantly greater than zero (P < .0001), the infection rate for the other procedures. CONCLUSION: A 6-0 absorbable suture may be used for the lateral tarsal strip and does not lead to a recurrence of horizontal laxity. It does not appear to reduce the wound infection rate associated with this procedure. SN - 0002-9394 UR - https://www.unboundmedicine.com/medline/citation/15488785/The_use_of_a_polyglactin_suture_in_the_lateral_tarsal_strip_procedure_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0002-9394(04)00641-5 DB - PRIME DP - Unbound Medicine ER -