Tags

Type your tag names separated by a space and hit enter

Wedge resection of the tarsal plate combined with the modified Hotz procedure for correction of involutional lower eyelid entropion.
Can J Ophthalmol. 2019 02; 54(1):102-105.CJ

Abstract

OBJECTIVES

To investigate the outcomes for correction of involutional lower eyelid entropion by wedge resection of the tarsus combined with the modified Hotz procedure.

DESIGN

Retrospective study.

PARTICIPANTS

Patients with lower eyelid involutional entropion that was surgically repaired by wedge resection of the tarsal plate combined with the modified Hotz procedure.

METHODS

In a consecutive series of 43 patients with involutional lower eyelid entropion, wedge resection combined with the modified Hotz procedure was performed with an average follow-up period of 29.6 months (range, 6-62 months).

RESULTS

Among the patients, 93% had an excellent outcome within the follow-up period. For one patient, the outcome of both eyes was poor. For another patient, incision dehiscence of the eyelid margin in one eye occurred after the stitches were removed. The incision was sutured again, and it healed well. One patient complained of foreign body sensation in one eye after removal of the skin stitches. The complaint was resolved after wearing a corneal contact lens. No other significant complications occurred.

CONCLUSIONS

In our clinic, tarsal plate wedge resection combined with the modified Hotz procedure has been highly effective for correction of involutional lower eyelid entropion. Although this approach does not directly address lateral canthal tendon laxity, it does preserve the eyelid in case there is a future need for reconstruction due to ocular surface disease or trauma. Thus, wedge resection of the tarsal plate combined with modified Hotz procedure is a safe and effective method for involutional lower eyelid entropion.

Authors+Show Affiliations

Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China. Electronic address: njxoprs@163.com.Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.Department of Ophthalmological Plastic Surgery, Affiliated Eye Hospital, Wenzhou Medical University, Wenzhou, China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30851760

Citation

Ni, Jianxin, et al. "Wedge Resection of the Tarsal Plate Combined With the Modified Hotz Procedure for Correction of Involutional Lower Eyelid Entropion." Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, vol. 54, no. 1, 2019, pp. 102-105.
Ni J, Chen X, Zhou S, et al. Wedge resection of the tarsal plate combined with the modified Hotz procedure for correction of involutional lower eyelid entropion. Can J Ophthalmol. 2019;54(1):102-105.
Ni, J., Chen, X., Zhou, S., Liu, J., & Chen, B. (2019). Wedge resection of the tarsal plate combined with the modified Hotz procedure for correction of involutional lower eyelid entropion. Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, 54(1), 102-105. https://doi.org/10.1016/j.jcjo.2018.02.010
Ni J, et al. Wedge Resection of the Tarsal Plate Combined With the Modified Hotz Procedure for Correction of Involutional Lower Eyelid Entropion. Can J Ophthalmol. 2019;54(1):102-105. PubMed PMID: 30851760.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Wedge resection of the tarsal plate combined with the modified Hotz procedure for correction of involutional lower eyelid entropion. AU - Ni,Jianxin, AU - Chen,Xi, AU - Zhou,Shengjie, AU - Liu,Jia, AU - Chen,Ben, Y1 - 2018/04/24/ PY - 2017/05/25/received PY - 2018/02/07/revised PY - 2018/02/13/accepted PY - 2019/3/11/entrez PY - 2019/3/11/pubmed PY - 2019/7/25/medline SP - 102 EP - 105 JF - Canadian journal of ophthalmology. Journal canadien d'ophtalmologie JO - Can J Ophthalmol VL - 54 IS - 1 N2 - OBJECTIVES: To investigate the outcomes for correction of involutional lower eyelid entropion by wedge resection of the tarsus combined with the modified Hotz procedure. DESIGN: Retrospective study. PARTICIPANTS: Patients with lower eyelid involutional entropion that was surgically repaired by wedge resection of the tarsal plate combined with the modified Hotz procedure. METHODS: In a consecutive series of 43 patients with involutional lower eyelid entropion, wedge resection combined with the modified Hotz procedure was performed with an average follow-up period of 29.6 months (range, 6-62 months). RESULTS: Among the patients, 93% had an excellent outcome within the follow-up period. For one patient, the outcome of both eyes was poor. For another patient, incision dehiscence of the eyelid margin in one eye occurred after the stitches were removed. The incision was sutured again, and it healed well. One patient complained of foreign body sensation in one eye after removal of the skin stitches. The complaint was resolved after wearing a corneal contact lens. No other significant complications occurred. CONCLUSIONS: In our clinic, tarsal plate wedge resection combined with the modified Hotz procedure has been highly effective for correction of involutional lower eyelid entropion. Although this approach does not directly address lateral canthal tendon laxity, it does preserve the eyelid in case there is a future need for reconstruction due to ocular surface disease or trauma. Thus, wedge resection of the tarsal plate combined with modified Hotz procedure is a safe and effective method for involutional lower eyelid entropion. SN - 1715-3360 UR - https://www.unboundmedicine.com/medline/citation/30851760/Wedge_resection_of_the_tarsal_plate_combined_with_the_modified_Hotz_procedure_for_correction_of_involutional_lower_eyelid_entropion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0008-4182(17)30493-3 DB - PRIME DP - Unbound Medicine ER -