Tags

Type your tag names separated by a space and hit enter

Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion.
J Fr Ophtalmol 2018; 41(8):752-758JF

Abstract

PURPOSE

To compare the efficacy of two surgical techniques-lateral tarsal strip (canthoplasty) alone, and lateral tarsal strip with three-snip punctoplasty-in reducing epiphora arising from involutional ectropion with partial punctal stenosis.

METHODS

Fourty patients with involutional ectropion and partial stenosis of the lacrimal punctum were randomly allocated to two treatment groups. Group 1 patients received lateral tarsal strip alone with only non-invasive stenting of the punctum, and group 2 patients received tarsal strip plus three-snip punctoplasty. Subjective assessment of epiphora was achieved via completion of a quality of life (QoL) questionnaire preoperatively and at postoperative month 3. Eyelid position, adverse outcomes and corneal dryness (via Oxford grading scheme) were also assessed postoperatively. Only patients with unilateral problems were included in the study.

RESULTS

Forty eyes of 40 patients were included: 20 in each group. The mean ages of group 1 and group 2 patients were 79±11 and 80±9 years, respectively. All patients reported significantly reduced eye watering after surgery, with no significant intergroup difference in subjective outcomes, except that computer usage and night driving (P<0.05), improved in a more significant way in group 2. Eyelid malposition was corrected in all cases, there were no cases of postoperative punctal eversion, and no significant adverse events or complications occurred. Finally, the mean improvements in the dryness/keratitis score (using the Oxford scheme) were comparable between the 2 groups (P=0.34).

CONCLUSION

The study findings indicate that treatment of involutional ectropion with partial punctal stenosis by lateral tarsal strip with three snip punctoplasty does not provide greater reduction in discomfort secondary to epiphora than conventional lateral tarsal strip alone, except for specific situations such as night driving or computer use.

Authors+Show Affiliations

Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France.Clinical Research Support Unit, Metz-Thionville Regional Hospital Center, Mercy Hospital, Metz, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France; Clinical Research Support Unit, Metz-Thionville Regional Hospital Center, Mercy Hospital, Metz, France.Department of Ophthalmology, CHR Metz-Thionville, Mercy Hospital, 1, allée du Château, 57085 Metz cedex 03, France. Electronic address: Jm.perone@chr-metz-thionville.fr.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

30217604

Citation

Ehrhardt, A, et al. "Lateral Tarsal Strip Versus Lateral Tarsal Strip With Three-snip Punctoplasty for Managing Epiphora in Involutional Ectropion." Journal Francais D'ophtalmologie, vol. 41, no. 8, 2018, pp. 752-758.
Ehrhardt A, Guechi O, Zaidi M, et al. Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion. J Fr Ophtalmol. 2018;41(8):752-758.
Ehrhardt, A., Guechi, O., Zaidi, M., Sot, M., Lhuillier, L., Houmad, N., ... Perone, J. M. (2018). Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion. Journal Francais D'ophtalmologie, 41(8), pp. 752-758. doi:10.1016/j.jfo.2017.12.018.
Ehrhardt A, et al. Lateral Tarsal Strip Versus Lateral Tarsal Strip With Three-snip Punctoplasty for Managing Epiphora in Involutional Ectropion. J Fr Ophtalmol. 2018;41(8):752-758. PubMed PMID: 30217604.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion. AU - Ehrhardt,A, AU - Guechi,O, AU - Zaidi,M, AU - Sot,M, AU - Lhuillier,L, AU - Houmad,N, AU - Ouamara,N, AU - Goetz,C, AU - Perone,J-M, Y1 - 2018/09/11/ PY - 2017/11/11/received PY - 2017/12/21/revised PY - 2017/12/22/accepted PY - 2018/9/16/pubmed PY - 2019/1/29/medline PY - 2018/9/16/entrez KW - Canthoplastie KW - Canthoplasty KW - Ectropion KW - Epiphora KW - Larmoiement KW - Lateral tarsal strip KW - Punctoplastie KW - Punctoplasty KW - Quality of life questionnaire KW - Questionnaire de qualité de vie SP - 752 EP - 758 JF - Journal francais d'ophtalmologie JO - J Fr Ophtalmol VL - 41 IS - 8 N2 - PURPOSE: To compare the efficacy of two surgical techniques-lateral tarsal strip (canthoplasty) alone, and lateral tarsal strip with three-snip punctoplasty-in reducing epiphora arising from involutional ectropion with partial punctal stenosis. METHODS: Fourty patients with involutional ectropion and partial stenosis of the lacrimal punctum were randomly allocated to two treatment groups. Group 1 patients received lateral tarsal strip alone with only non-invasive stenting of the punctum, and group 2 patients received tarsal strip plus three-snip punctoplasty. Subjective assessment of epiphora was achieved via completion of a quality of life (QoL) questionnaire preoperatively and at postoperative month 3. Eyelid position, adverse outcomes and corneal dryness (via Oxford grading scheme) were also assessed postoperatively. Only patients with unilateral problems were included in the study. RESULTS: Forty eyes of 40 patients were included: 20 in each group. The mean ages of group 1 and group 2 patients were 79±11 and 80±9 years, respectively. All patients reported significantly reduced eye watering after surgery, with no significant intergroup difference in subjective outcomes, except that computer usage and night driving (P<0.05), improved in a more significant way in group 2. Eyelid malposition was corrected in all cases, there were no cases of postoperative punctal eversion, and no significant adverse events or complications occurred. Finally, the mean improvements in the dryness/keratitis score (using the Oxford scheme) were comparable between the 2 groups (P=0.34). CONCLUSION: The study findings indicate that treatment of involutional ectropion with partial punctal stenosis by lateral tarsal strip with three snip punctoplasty does not provide greater reduction in discomfort secondary to epiphora than conventional lateral tarsal strip alone, except for specific situations such as night driving or computer use. SN - 1773-0597 UR - https://www.unboundmedicine.com/medline/citation/30217604/Lateral_tarsal_strip_versus_lateral_tarsal_strip_with_three_snip_punctoplasty_for_managing_epiphora_in_involutional_ectropion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0181-5512(18)30311-5 DB - PRIME DP - Unbound Medicine ER -