Comparison of surgical outcomes between simple posterior layer advancement of lower eyelid retractors and combination with a lateral tarsal strip procedure for involutional entropion in a Japanese population

2014 ◽  
Vol 98 (11) ◽  
pp. 1579-1582 ◽  
Author(s):  
Hwa Lee ◽  
Yasuhiro Takahashi ◽  
Akihiro Ichinose ◽  
Hirohiko Kakizaki
Keyword(s):  
Surgical Outcomes ◽  
Japanese Population ◽  
Lower Eyelid ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip

scholarly journals Synchronous Surgical Treatment of Lower Eyelid Involutional Entropion and Ptosis

2018 ◽  
Vol 2018 ◽  
pp. 1-3
Author(s):  
D. Vasakos ◽  
E. Nakos ◽  
C. Sioulis
Keyword(s):  
Treatment Options ◽  
The Elderly ◽  
Lower Eyelid ◽  
Postoperative Recovery ◽  
Multiple Time ◽  
Upper Eyelid ◽  
Alternative Treatment Strategy ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip ◽  
Upper Eyelid Ptosis

Background. Involutional entropion and upper eyelid ptosis are common eyelid diseases in the elderly population. They represent a frequent cause of discomfort and often result in significant visual and functional impairment. The surgical management of these disorders includes various treatment options and techniques and is usually carried out in multiple time sessions. Case Report. We report the case of a 72 year old female patient, suffering from right eye involutional lower eyelid entropion and ptosis, who was treated synchronously for both conditions, by applying the lateral tarsal strip procedure and the levator resection technique. Conclusion. The synchronous treatment of involutional entropion and ptosis is an alternative treatment strategy, which could potentially improve surgical outcome, while reducing postoperative recovery time and treatment costs.

Lateral tarsal strip plus skin-muscle flap excision in the treatment of lower eyelid involutional entropion

Orbit ◽  
2017 ◽  
Vol 36 (6) ◽  
pp. 375-381 ◽  
Author(s):  
Kristen E. Dunbar ◽  
Catherine Cox ◽  
Katrinka L. Heher ◽  
Mitesh K. Kapadia
Keyword(s):  
Muscle Flap ◽  
Lower Eyelid ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip

The effects of using spacer grafts on lower-eyelid retraction surgery in patients with facial nerve palsy

2021 ◽  
pp. 112067212110519
Author(s):  
Mi Jin Kim ◽  
Yong Min Choi ◽  
Namju Kim ◽  
Ho-Kyung Choung ◽  
Sang In Khwarg
Keyword(s):  
Facial Nerve ◽  
Surgical Outcomes ◽  
Nerve Palsy ◽  
Facial Nerve Palsy ◽  
Lower Eyelid ◽  
Interquartile Range ◽  
Eyelid Retraction ◽  
Subgroup Analyses ◽  
Lateral Tarsal Strip

Purpose To evaluate the effects of the concomitant use of spacer grafts in lateral tarsal strip surgery in patients with facial nerve palsy-related lower-eyelid retraction. Methods Patients who underwent lateral tarsal strip surgery to correct facial nerve palsy-related lower-eyelid retraction were retrospectively reviewed. Postoperative decreases in marginal reflex distance-2 values at 1, 2 and 6 months were measured along with the effects of spacer grafts. Results Forty-five patients (28 males) were included (mean age: 59.56 years). Mean preoperative marginal reflex distance-2 was 6.87 ± 1.34 mm. Twenty patients underwent lateral tarsal strip surgery only (lateral tarsal strip-only); 25 patients underwent lateral tarsal strip surgery using spacer grafts (lateral tarsal strip + graft). Median (interquartile range) follow-up duration was 12.0 (6.0–23.0) months. Retraction was significantly improved and maintained at 1, 2 and 6 months postoperatively in all patients (mean marginal reflex distance-2: 3.78 ± 1.06 mm, 4.30 ± 1.23 mm and 4.72 ± 1.11 mm, respectively). Surgical outcomes were significantly better in the lateral tarsal strip + graft than in the lateral tarsal strip-only group (Δmarginal reflex distance-2: 3.92 vs. 2.05 mm at 1 month, p < 0.001; 3.38 vs. 1.61 mm at 2 months, p = 0.001; 2.88 vs. 1.69 at 6 months, p = 0.042). Subgroup analyses by spacer graft type revealed no significant differences. Conclusion The concomitant use of spacer material in lateral tarsal strip surgery yielded better surgical outcomes than lateral tarsal strip surgery alone. The use of spacer grafts should be considered for correcting severe facial nerve palsy-related lower-eyelid retraction.

scholarly journals Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

2021 ◽  
Vol 3 (Number 2) ◽  
pp. 7-11
Author(s):  
Syeed Mehbub Ul Kadir ◽  
Md. Feroz Khan ◽  
Md. Abul Kalam Azad ◽  
Md. Ismail Hossain ◽  
Narayan Chandra Bhowmik ◽  
...  
Keyword(s):  
Management Strategies ◽  
Case Series ◽  
Lower Eyelid ◽  
Female Ratio ◽  
Involutional Entropion ◽  
Eyelid Malposition ◽  
Lateral Tarsal Strip ◽  
The Mean ◽  
Age Range ◽  
Male To Female

To analysis the effectiveness of lateral tarsal strip for the surgical repair of the marginal malpositions of the lower eyelid. A retrospective, consecutive case series of patients who underwent lateral tarsal strip (LTS) procedure for all types of involutional lower eyelid malposition (entropion and ectropion) and paralytic ectropion, at one tertiary eye centre of Dhaka, Bangladesh, between January 2013 and December 2017. All records were evaluated to determine the indications, management strategies, surgical outcome and postoperative complications. A total of 46 lower eyelids marginal malposition’s of 41 patients were studied in this study and lateral tarsal strip 9LTS) procedure was used to repair the involutional entropion (52%), involutional ectropion (35%), and paralytic ectropion (13%) of the lower eyelid. The male to female ratio was 2:1. The mean age was 61.34 years with 26 years to 85 years age range. The surgical correction was satisfactory in 93.5% cases. Lateral tarsal strip (LTS) procedure achieved statistically significant better anatomical and functional outcomes for the correction of all types of involutional eyelid marginal malposition’s and paralytic ectropion.

scholarly journals Comparison of everting sutures and the lateral tarsal strip with or without everting sutures for involutional lower eyelid entropion: A meta-analysis

2020 ◽  
Author(s):  
Gyudeok Hwang ◽  
Hyo Sin Kim ◽  
Jiyoung Lee ◽  
Ji-Sun Paik
Keyword(s):  
Recurrence Rate ◽  
Data Extraction ◽  
Meta Analysis ◽  
Group Analysis ◽  
Cochrane Collaboration ◽  
Lower Eyelid ◽  
Sequential Procedures ◽  
Involutional Entropion ◽  
Lateral Tarsal Strip ◽  
The Cochrane Collaboration

AbstractThere are three pathophysiologies of involutional entropion, vertical laxity (VL), horizontal laxity (HL), and overriding of the preseptal orbicularis. The effects of methods to correct VL only, HL only, or both VL and HL in patients with involutional entropion were compared using the published results of randomized controlled trials (RCTs).To find RCT studies that investigated methods to correct involutional entropion, a systematic search was performed from database inception to April 2020 in the Medline, EMBASE, and Cochrane databases. Two independent researchers conducted the literature selection and data extraction. Evaluation of the quality of the reports was performed using the Cochrane Collaboration tool for assessing the risk of bias (ROB 2.0). The data analysis was conducted according to the PRISMA guidelines using Review Manager 5.3.Two RCT studies were included in this meta-analysis. Surgery for involutional entropion was performed on a total of 109 eyes. Everting sutures (ES) were used on 57 eyes and lateral tarsal strips (LTS) or combined procedures (LTS + ES) were performed on 52 eyes. At the end of the follow-up periods, involutional entropion recurred in 18 eyes (31.6%) in the ES group and three eyes (5.8%) in the LTS +/- ES group. Analysis of the risk ratio showed that the LTS +/- ES method significantly lowered the recurrence rate compared to using ES only (P = 0.007).Performing LTS +/- ES effectively lowered the recurrence rate of involutional entropion compared to ES alone. However, some patients cannot tolerate more invasive corrections such as LTS. Therefore, sequential procedures, in which ES is performed first and then when entropion recurs LTS +/- ES is performed, or another methods depending upon the degree of HL may be used.

A retrospective study of tailored surgery based on the mechanical balance principle for involutional entropion in the lower eyelid

2020 ◽  
pp. 112067212098439
Author(s):  
Jian Hu ◽  
Yueyue Li ◽  
Qian Li ◽  
Liqiang Wang ◽  
Yifei Huang
Keyword(s):  
Retrospective Study ◽  
Wedge Resection ◽  
The Elderly ◽  
Lower Eyelid ◽  
Recurrence Rates ◽  
Balance Principle ◽  
Involutional Entropion ◽  
Balance Analysis ◽  
Lateral Tarsal Strip

Objective: Involutional entropion in the lower eyelid is one of the most common eyelid disorders of the elderly. Despite the effectiveness of the widely used surgical procedures, recurrence rates have failed to improve. In this retrospective study, we aimed to assess surgical plans, effectiveness and safety of tailored surgery based on the mechanical balance principal in treating involutional entropion in the lower eyelid. Methods: A retrospective analysis of 47 patients (54 eyelids) diagnosed with involutional entropion in the lower eyelid and receiving tailored surgical treatment based on mechanical balance principle from 1 January 2016 to 31 December 2018 was carried out. Tailored surgical plans were developed according to the mechanical balance analysis of vertical, horizontal and sagittal directions. Results: All 54 eyelids with involutional entropion in the lower eyelid underwent advancement of the lower eyelid retractor (LER) through the conjunctiva. For patients with mild horizontal eyelid laxity, only LER advancement was performed. For moderate and severe horizontal eyelid laxities, combined horizontal reinforcement procedures were performed, including lateral canthopexy, lateral tarsal strip (LTS) surgery and wedge resection. The orbicularis oculi muscle (OOM) tightening or transposition was performed for OOM overriding. The follow-up time was 1 to 4 years, and there were no cases experiencing recurrence. Thus, the rates of effectiveness and recurrence were 100% and 0%, respectively. Conclusions: This is the first descriptive study on the tailored surgical strategies designed according to the mechanism of mechanical imbalance involved in involutional entropion. Tailored surgery based on the mechanical balance principle is safe and effective with low recurrence.

Lower eyelid involutional entropion following cataract surgery

Eye ◽  
2021 ◽  
Author(s):  
Christopher B. Schulz ◽  
Matteo Fallico ◽  
Alice Rothwell ◽  
We Fong Siah
Keyword(s):  
Cataract Surgery ◽  
Lower Eyelid ◽  
Involutional Entropion
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