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Correction of involutional lower eyelid medial ectropion with transconjunctival approach retractor plication and lateral tarsal strip.
Acta Ophthalmol Scand. 2006 Apr; 84(2):246-9.AO

Abstract

AIM

We describe the technique and our results in managing lower eyelid involutional medial ectropion using a combination of lateral tarsal strip to address horizontal eyelid laxity, and transconjunctival inferior retractor plication to address inferior retractor dehiscence.

METHODS

Patients with symptoms of epiphora or signs of medial ectropion were offered this procedure. All had the following characteristics: medial lower eyelid eversion, punctal eversion >3 mm, medial canthal tendon laxity <4 mm, significant horizontal eyelid laxity and lacrimal systems that were patent to syringing.

RESULTS

A total of 24 eyelids of 17 patients underwent this procedure over a 12-month period. The mean age of the patients was 79.7 years; 11 were male and six were female. The mean follow-up time was 18 months. Two eyes had undergone previous surgery. All patients had restoration of the eyelid margin to the globe and relief of symptoms. No complications were noted.

DISCUSSION

These results suggest that excision of posterior lamellar tissue is not necessary for correction of involutional medial ectropion. Transconjunctival plication or reattachment of retractors is easy to perform and allows for the repair of more than the medial portion of the retractors if required.

Authors+Show Affiliations

Corneo-Plastic Unit, Queen Victoria Hospital, East Grinstead, UK.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16637845

Citation

Fong, Kenneth C S., et al. "Correction of Involutional Lower Eyelid Medial Ectropion With Transconjunctival Approach Retractor Plication and Lateral Tarsal Strip." Acta Ophthalmologica Scandinavica, vol. 84, no. 2, 2006, pp. 246-9.
Fong KC, Mavrikakis I, Sagili S, et al. Correction of involutional lower eyelid medial ectropion with transconjunctival approach retractor plication and lateral tarsal strip. Acta Ophthalmol Scand. 2006;84(2):246-9.
Fong, K. C., Mavrikakis, I., Sagili, S., & Malhotra, R. (2006). Correction of involutional lower eyelid medial ectropion with transconjunctival approach retractor plication and lateral tarsal strip. Acta Ophthalmologica Scandinavica, 84(2), 246-9.
Fong KC, et al. Correction of Involutional Lower Eyelid Medial Ectropion With Transconjunctival Approach Retractor Plication and Lateral Tarsal Strip. Acta Ophthalmol Scand. 2006;84(2):246-9. PubMed PMID: 16637845.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Correction of involutional lower eyelid medial ectropion with transconjunctival approach retractor plication and lateral tarsal strip. AU - Fong,Kenneth C S, AU - Mavrikakis,Ioannis, AU - Sagili,Suresh, AU - Malhotra,Raman, PY - 2006/4/28/pubmed PY - 2006/5/31/medline PY - 2006/4/28/entrez SP - 246 EP - 9 JF - Acta ophthalmologica Scandinavica JO - Acta Ophthalmol Scand VL - 84 IS - 2 N2 - AIM: We describe the technique and our results in managing lower eyelid involutional medial ectropion using a combination of lateral tarsal strip to address horizontal eyelid laxity, and transconjunctival inferior retractor plication to address inferior retractor dehiscence. METHODS: Patients with symptoms of epiphora or signs of medial ectropion were offered this procedure. All had the following characteristics: medial lower eyelid eversion, punctal eversion >3 mm, medial canthal tendon laxity <4 mm, significant horizontal eyelid laxity and lacrimal systems that were patent to syringing. RESULTS: A total of 24 eyelids of 17 patients underwent this procedure over a 12-month period. The mean age of the patients was 79.7 years; 11 were male and six were female. The mean follow-up time was 18 months. Two eyes had undergone previous surgery. All patients had restoration of the eyelid margin to the globe and relief of symptoms. No complications were noted. DISCUSSION: These results suggest that excision of posterior lamellar tissue is not necessary for correction of involutional medial ectropion. Transconjunctival plication or reattachment of retractors is easy to perform and allows for the repair of more than the medial portion of the retractors if required. SN - 1395-3907 UR - https://www.unboundmedicine.com/medline/citation/16637845/Correction_of_involutional_lower_eyelid_medial_ectropion_with_transconjunctival_approach_retractor_plication_and_lateral_tarsal_strip_ L2 - https://onlinelibrary.wiley.com/resolve/openurl?genre=article&amp;sid=nlm:pubmed&amp;issn=1395-3907&amp;date=2006&amp;volume=84&amp;issue=2&amp;spage=246 DB - PRIME DP - Unbound Medicine ER -