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Modified lateral tarsal strip for involutional entropion and ectropion surgery.
Graefes Arch Clin Exp Ophthalmol. 2017 Mar; 255(3):619-625.GA

Abstract

PURPOSE

Our purpose was to assess our outcomes in involutional lower eyelid ectropion and entropion surgery after horizontal eyelid tightening by a modified tarsal strip technique.

METHODS

A prospective study of 88 eyelids with ectropion and 96 with entropion was performed. Patients were randomly distributed into two groups: the control group included 90 eyelids (46 entropion and 44 ectropion) and the other group of 94 eyelids (50 entropion and 44 ectropion). The control group was treated with a conventional tarsal strip, whereas the second group underwent the same surgery except for a modified suture placement of the tarsal strip different in patients with ectropion and entropion. The mean follow-up was 5.4 years. Horizontal eyelid laxity, orbicularis muscle and lower eyelid retractors function were measured prior and after surgery. Recurrence rate was also evaluated.

RESULTS

Recurrent entropion occurred in eight eyelids (17.4 %) treated with conventional tarsal strip, while only two eyelids (4 %) showed recurrence after surgery in the group treated with the modified technique. Recurrence ectropion was only found in one eyelid (2.3 %) in the control group. Pathological horizontal laxity was present in all patients at the baseline study. After surgery, the horizontal laxity improved in both groups, we found significant differences in the patients treated with the modified technique (P=0.04).

CONCLUSIONS

The modified suture placement of the tarsal strip reported in this work improves the lower eyelid stability and prevents future recurrences after surgery. This modified technique is useful for the management of patients with entropion and moderate eyelid dysfunction retractors without other surgical procedures.

Authors+Show Affiliations

Ophthalmology Service, Hospital Cruz Roja, Avenida Reina Victoria n° 26, 28003, Madrid, Spain. docsantilopez@hotmail.com.Ophthalmology Service, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain.Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain.Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain.Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain.Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain.

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27817116

Citation

López-García, José Santiago, et al. "Modified Lateral Tarsal Strip for Involutional Entropion and Ectropion Surgery." Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, vol. 255, no. 3, 2017, pp. 619-625.
López-García JS, García-Lozano I, Giménez-Vallejo C, et al. Modified lateral tarsal strip for involutional entropion and ectropion surgery. Graefes Arch Clin Exp Ophthalmol. 2017;255(3):619-625.
López-García, J. S., García-Lozano, I., Giménez-Vallejo, C., Jiménez, B., Sánchez, Á., & de Juan, I. E. (2017). Modified lateral tarsal strip for involutional entropion and ectropion surgery. Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Fur Klinische Und Experimentelle Ophthalmologie, 255(3), 619-625. https://doi.org/10.1007/s00417-016-3536-2
López-García JS, et al. Modified Lateral Tarsal Strip for Involutional Entropion and Ectropion Surgery. Graefes Arch Clin Exp Ophthalmol. 2017;255(3):619-625. PubMed PMID: 27817116.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Modified lateral tarsal strip for involutional entropion and ectropion surgery. AU - López-García,José Santiago, AU - García-Lozano,Isabel, AU - Giménez-Vallejo,Carlos, AU - Jiménez,Belén, AU - Sánchez,Álvaro, AU - de Juan,Isabel Elosua, Y1 - 2016/11/05/ PY - 2015/12/01/received PY - 2016/10/25/accepted PY - 2016/09/26/revised PY - 2016/11/7/pubmed PY - 2017/8/10/medline PY - 2016/11/7/entrez KW - Ectropion KW - Entropion KW - Horizontal eyelid KW - Horizontal eyelid laxity KW - Modified lateral tarsal strip KW - Tightening SP - 619 EP - 625 JF - Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie JO - Graefes Arch Clin Exp Ophthalmol VL - 255 IS - 3 N2 - PURPOSE: Our purpose was to assess our outcomes in involutional lower eyelid ectropion and entropion surgery after horizontal eyelid tightening by a modified tarsal strip technique. METHODS: A prospective study of 88 eyelids with ectropion and 96 with entropion was performed. Patients were randomly distributed into two groups: the control group included 90 eyelids (46 entropion and 44 ectropion) and the other group of 94 eyelids (50 entropion and 44 ectropion). The control group was treated with a conventional tarsal strip, whereas the second group underwent the same surgery except for a modified suture placement of the tarsal strip different in patients with ectropion and entropion. The mean follow-up was 5.4 years. Horizontal eyelid laxity, orbicularis muscle and lower eyelid retractors function were measured prior and after surgery. Recurrence rate was also evaluated. RESULTS: Recurrent entropion occurred in eight eyelids (17.4 %) treated with conventional tarsal strip, while only two eyelids (4 %) showed recurrence after surgery in the group treated with the modified technique. Recurrence ectropion was only found in one eyelid (2.3 %) in the control group. Pathological horizontal laxity was present in all patients at the baseline study. After surgery, the horizontal laxity improved in both groups, we found significant differences in the patients treated with the modified technique (P=0.04). CONCLUSIONS: The modified suture placement of the tarsal strip reported in this work improves the lower eyelid stability and prevents future recurrences after surgery. This modified technique is useful for the management of patients with entropion and moderate eyelid dysfunction retractors without other surgical procedures. SN - 1435-702X UR - https://www.unboundmedicine.com/medline/citation/27817116/Modified_lateral_tarsal_strip_for_involutional_entropion_and_ectropion_surgery_ L2 - https://dx.doi.org/10.1007/s00417-016-3536-2 DB - PRIME DP - Unbound Medicine ER -