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Lower eyelid retractor (white-line) advancement to correct tarsal ectropion.
Can J Ophthalmol. 2019 02; 54(1):98-101.CJ

Abstract

OBJECTIVE

To describe a modification of trans-conjunctival, lower eyelid retractor advancement to correct tarsal ectropion.

DESIGN

A retrospective case review.

PARTICIPANTS

Consecutive patients with lower eyelid tarsal ectropion.

METHODS

Cases of lower eyelid tarsal ectropion, surgically corrected by advancement of inferior retractor to the lower border of tarsus via a transconjunctival approach, were identified. Lateral tarsal strip was also performed simultaneously in all cases.

RESULTS

Twenty patients (25 eyelids) were included in this study. There were 19 primary lower eyelid tarsal ectropion and 6 recurrent tarsal ectropion. Complete resolution of tarsal ectropion was achieved in all patients postoperatively. Mean follow-up was 8.4 months (range 1-36 months). There were no cases of overcorrection, recurrent ectropion, suture abscess, wound dehiscence, or inferior fornix shortening after surgery.

CONCLUSIONS

Visualization of the lower eyelid retractor (white-line) and advancement to the inferior border of tarsus through a transconjunctival approach is effective in correcting both primary and recurrent cases of tarsal ectropion. This can be performed through a small conjunctival incision in the middle third of the lower eyelid, without the need for any excision of tissue or suture loop tie on the skin surface.

Authors+Show Affiliations

Royal Shrewsbury Hospital, Shrewsbury, United Kingdom.Royal Shrewsbury Hospital, Shrewsbury, United Kingdom.. Electronic address: dr.jeromeha@gmail.com.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30851783

Citation

Sagili, Suresh, and Jerome Ha. "Lower Eyelid Retractor (white-line) Advancement to Correct Tarsal Ectropion." Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, vol. 54, no. 1, 2019, pp. 98-101.
Sagili S, Ha J. Lower eyelid retractor (white-line) advancement to correct tarsal ectropion. Can J Ophthalmol. 2019;54(1):98-101.
Sagili, S., & Ha, J. (2019). Lower eyelid retractor (white-line) advancement to correct tarsal ectropion. Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie, 54(1), 98-101. https://doi.org/10.1016/j.jcjo.2018.02.005
Sagili S, Ha J. Lower Eyelid Retractor (white-line) Advancement to Correct Tarsal Ectropion. Can J Ophthalmol. 2019;54(1):98-101. PubMed PMID: 30851783.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower eyelid retractor (white-line) advancement to correct tarsal ectropion. AU - Sagili,Suresh, AU - Ha,Jerome, Y1 - 2018/04/30/ PY - 2017/10/29/received PY - 2018/02/04/revised PY - 2018/02/06/accepted PY - 2019/3/11/entrez PY - 2019/3/11/pubmed PY - 2019/7/28/medline SP - 98 EP - 101 JF - Canadian journal of ophthalmology. Journal canadien d'ophtalmologie JO - Can J Ophthalmol VL - 54 IS - 1 N2 - OBJECTIVE: To describe a modification of trans-conjunctival, lower eyelid retractor advancement to correct tarsal ectropion. DESIGN: A retrospective case review. PARTICIPANTS: Consecutive patients with lower eyelid tarsal ectropion. METHODS: Cases of lower eyelid tarsal ectropion, surgically corrected by advancement of inferior retractor to the lower border of tarsus via a transconjunctival approach, were identified. Lateral tarsal strip was also performed simultaneously in all cases. RESULTS: Twenty patients (25 eyelids) were included in this study. There were 19 primary lower eyelid tarsal ectropion and 6 recurrent tarsal ectropion. Complete resolution of tarsal ectropion was achieved in all patients postoperatively. Mean follow-up was 8.4 months (range 1-36 months). There were no cases of overcorrection, recurrent ectropion, suture abscess, wound dehiscence, or inferior fornix shortening after surgery. CONCLUSIONS: Visualization of the lower eyelid retractor (white-line) and advancement to the inferior border of tarsus through a transconjunctival approach is effective in correcting both primary and recurrent cases of tarsal ectropion. This can be performed through a small conjunctival incision in the middle third of the lower eyelid, without the need for any excision of tissue or suture loop tie on the skin surface. SN - 1715-3360 UR - https://www.unboundmedicine.com/medline/citation/30851783/Lower_eyelid_retractor__white_line__advancement_to_correct_tarsal_ectropion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0008-4182(17)31196-1 DB - PRIME DP - Unbound Medicine ER -