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.

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.

Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

2011 ◽  
Vol 27 (5) ◽  
pp. 317-320 ◽  
Author(s):  
Renato Wendell Damasceno ◽  
Midori Hentona Osaki ◽  
Paulo Elias Correa Dantas ◽  
Rubens Belfort
Keyword(s):  
Risk Factors ◽  
Elderly Population ◽  
The Elderly ◽  
Lower Eyelid ◽  
Involutional Entropion ◽  
Associated Risk Factors

scholarly journals Optimization of Diagnosis and Surgical Treatment of Involutional Entropion of the Lower Eyelid

2021 ◽  
pp. 892-897
Author(s):  
. Anshu ◽  
Pradeep G. Sune
Keyword(s):  
Scientific Literature ◽  
Signs And Symptoms ◽  
Corneal Neovascularization ◽  
Lower Eyelid ◽  
Current Treatment ◽  
Treatment Modalities ◽  
Data Bases ◽  
Upper Eyelid ◽  
Involutional Entropion ◽  
Corneal Thinning

Background: Rolling inwards of the lid margin is called entropion, and is produced by a disparity in length and tone between the anterior skin muscle, and posterior tarso-conjunctival laminae of the eyelid. Involutional, cicatricial, spastic, or congenital are some of the classifications involutional entropion there is general instability of the lid structures with age .A weakness of the posterior retractors of the lid occurs, together with a laxity of the medial and lateral canthal ligaments,  accompanied by a loss of posterior support ,as atrophy of the orbital fat leads to enophthalmos. The current treatment modalities for this condition are surgical in nature, although non-surgical temporary medical treatment are also used. It's a commonest types of eyelid asymmetry. Corneal and conjunctival damage may lead to abrasions, scarring, corneal thinning, or corneal neovascularization due to this misalignment. Unilateral or bilateral entropion is possible. Involutional entropion of lower eyelids are common, but cicatricial upper eyelids are common.  Entropion of lower eyelid is a much more prevalent than entropion of the upper eyelid. Objective: The purpose is to review the scientific literature on diagnosis and surgical management of involutional entropion of the lower eyelid. Methodology: The data were collected from the various electronic data bases like google scholar, PubMed and various books. Conclusion: After reviewing the articles, we come to the conclusion that the signs and symptoms of involutional entropion are easily manageable by given treatment.

A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid

2016 ◽  
Vol 1 (4) ◽  
pp. 188-190
Author(s):  
Etti Goyal ◽  
Y Rizvi ◽  
Pranav Gupta
Keyword(s):  
Sebaceous Gland ◽  
The Elderly ◽  
Lower Eyelid ◽  
Sebaceous Gland Carcinoma ◽  
Upper Eyelid ◽  
Ear Cartilage ◽  
Upper Lid ◽  
Lid Reconstruction ◽  
Gland Carcinoma ◽  
Contralateral Eye

ABSTRACT Introduction Sebaceous gland carcinoma (SGC) is a rare tumor affecting the elderly, with a predisposition for females arising from the meibomian glands and occurring more commonly on the upper eyelid. Diagnosis is difficult because the tumor mimics chalazion or blepharitis. Sebaceous gland carcinoma has a mortality rate of about 5 to 10%. Aim To present a modified Cutler-Beard technique of lid reconstruction to manage a case of extensive SGC of upper lid. Materials and methods A 65-year-old male presented with a rapidly growing extensive mass of right upper eyelid (size 4.2 × 4 × 2.1 cm) causing mechanical ptosis. Histopathology confirmed the diagnosis as SGC. Wide excision of the lesion was performed sacrificing the whole upper eyelid. Lid reconstruction was done employing lower eyelid as per the bridged flap technique with the use of 4 mm silicon band to enhance lid stability. Patient achieved a satisfactory functional and cosmetic result following the second stage of the procedure. Conclusion Total loss of upper eyelid is often dealt with classical lid sharing technique of reconstruction first described by Cutler-Beard. For lid stability, use of tarsus from contralateral eye, ear cartilage has their attendant problems. A 4.0 silicon band was used to replace the sacrificed tarsus, achieving good results. How to cite this article Gupta P, Rizvi Y, Goyal E. A Modified Cutler-Beard Technique to manage Extensive Sebaceous Gland Carcinoma of Upper Eyelid. Int J Adv Integ Med Sci 2016;1(4):188-190.

scholarly journals Correction of Anophthalmic Enophthalmos with a Three-Staged Procedure: Two Case Reports

2011 ◽  
Vol 2011 ◽  
pp. 1-4 ◽  
Author(s):  
Tomohiro Minagawa ◽  
Ryuta Shioya ◽  
Takeshi Yamao ◽  
Chigusa Sato ◽  
Taku Maeda
Keyword(s):  
Case Reports ◽  
Lower Eyelid ◽  
Surgical Correction ◽  
Cartilage Graft ◽  
Eyelid Retraction ◽  
Upper Eyelid ◽  
Sling Procedure ◽  
Upper Eyelid Ptosis ◽  
Prosthetic Eye

Surgical correction of an anophthalmic enophthalmos secondary to inappropriate repair of the eye socket involves several difficult aesthetic issues associated with long-term use of a poorly fitting prosthetic eye. In this paper, we present two cases of anophthalmic enophthalmos. During the treatment of the first patient, unsatisfactory cosmetic problems including lower eyelid retraction, hypoglobus, and severe upper eyelid ptosis were revealed. Accordingly, a three-staged procedure was performed on the second patient, including autologous augmentation of the eye socket, correction of lower eyelid retraction with a cartilage graft, and a frontalis sling procedure to correct upper eyelid ptosis.

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

scholarly journals Floppy eyelid, an under-diagnosed syndrome: a review of demographics, pathogenesis, and treatment

2021 ◽  
Vol 13 ◽  
pp. 251584142110592
Author(s):  
Alessandra De Gregorio ◽  
Alberto Cerini ◽  
Andrea Scala ◽  
Alessandro Lambiase ◽  
Emilio Pedrotti ◽  
...  
Keyword(s):  
Early Recognition ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Signs And Symptoms ◽  
Lower Eyelid ◽  
Systemic Diseases ◽  
Upper Eyelid ◽  
Dry Eyes ◽  
Obstructive Sleep ◽  
The Right

Floppy eyelid syndrome (FES) is a frequent eyelid disorder characterized by eyelid laxity that determines a spontaneous eyelid eversion during sleep associated with chronic papillary conjunctivitis and systemic diseases. FES is an under-diagnosed syndrome for the inaccuracy of definition and the lack of diagnostic criteria. Eyelid laxity can result from a number of involutional, local, and systemic diseases. Thus, it is pivotal to use the right terminology. When the increased distractibility of the upper or lower eyelid is an isolated condition, it is defined as ‘lax eyelid condition’ (LAC). When laxity is associated with ocular surface disorder such as papillary conjunctivitis and dry eyes, it can be referred to as ‘lax eyelid syndrome’ (LES). However, FES is characterized by the finding of a very loose upper eyelid which everts very easily and papillary tarsal conjunctivitis affecting a specific population of patients, typically male, of middle age and overweight. Obesity in middle-aged male is also recognized as the strongest risk factor in obstructive sleep apnea-hypopnea syndrome, (OSAHS). FES has been reported as the most frequent ocular disorder associated with OSAHS. Patients with FES often complain of non-pathognomonic ocular signs and symptoms such as pain, foreign body sensation, redness, photophobia, and lacrimation. Due to these clinical features, FES is often misdiagnosed while an early recognition might be important to avoid its chronic, distressing course and the associated morbidities. This review provides an updated overview on FES by describing the epidemiology, proposed pathogenesis, clinical manifestations, related ocular, and systemic diseases, and treatment options.

Eyelid Ptosis

2019 ◽  
pp. 175-180
Author(s):  
Matthew J. Thurtell ◽  
Robert L. Tomsak
Keyword(s):  
Differential Diagnosis ◽  
Clinical Practice ◽  
Clinical Features ◽  
Contact Lenses ◽  
Treatment Options ◽  
Connective Tissues ◽  
Upper Eyelid ◽  
Common Causes ◽  
Upper Eyelid Ptosis

Upper-eyelid ptosis is frequently encountered in clinical practice but has a broad differential diagnosis. It can produce visual symptoms when the pupil is encroached by the upper eyelid. In this chapter, we begin by reviewing the clinical features that help with localization of the lesion responsible for upper-eyelid ptosis. We next describe the components of the eyelid examination that help to quantify and characterize upper-eyelid ptosis. We then discuss the features of levator dehiscence and list its common causes, which include involutional changes in orbital connective tissues, long-term use of contact lenses, and iatrogenic trauma. Lastly, we review the treatment options for levator dehiscence.

Sign in / Sign up

Export Citation Format

Share Document