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T Ma, R Weng, Y S Zheng, L J Xu, Q Sun
Objective: To investigate the effects of epicanthoplasty on the trichiasis caused by the entropion of lower eyelid with epicanthus. Methods: Epicanthoplasty was used to correct the trichiasis of lower eyelid with epicanthus from February 2010 to October 2015. Total of 72 patients were enrolled in this study, among whom 42 were male and 30 were female, and aged 8 to 58 years. Among those patients, 64 cases were found with bilateral trichiasis and 8 patients with unilateral trichiasis. And 3 cases received secondary operations for recurrence...
September 27, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
J Maaß, F Sommer
No abstract text is available yet for this article.
September 12, 2016: Der Ophthalmologe: Zeitschrift der Deutschen Ophthalmologischen Gesellschaft
Ju-Hyang Lee, Orapan Aryasit, Yoon-Duck Kim, Kyung In Woo, Llewellyn Lee, Owen N Johnson
BACKGROUND/AIMS: Surgical treatments for the correction of congenital ptosis with poor levator function, including frontalis suspension or maximal levator resection, remain controversial. We evaluated the postoperative surgical and cosmetic outcomes after maximal levator resection for unilateral congenital ptosis with poor levator function. METHODS: A retrospective, interventional case series was performed. A total of 243 patients with 243 eyelids (210 unilateral and 33 bilateral asymmetric ptosis) who underwent unilateral maximal levator resection were included...
September 6, 2016: British Journal of Ophthalmology
Y Ishida, Y Takahashi, H Kakizaki
PurposeThe purpose of this study was to examine the surgical outcome of posterior layer advancement of the lower eyelid retractors (LER) with transcanthal canthopexy for involutional lower eyelid entropion.Patients and methodsFifty-one eyelids of 41 patients with involutional entropion and vertical and horizontal laxities that underwent posterior layer advancement of the LER with transcanthal canthopexy were retrospectively reviewed. As a control, we also reviewed previously reported data from 47 entropic eyelids of 37 patients with vertical and horizontal laxities that were successfully corrected using LER advancement and a lateral tarsal strip procedure...
July 15, 2016: Eye
Ahmed M Hishmi, Konrad R Koch, Mario Matthaei, Edwin Bölke, Claus Cursiefen, Ludwig M Heindl
BACKGROUND: Tarsoconjunctival flap advancement, or the Hughes procedure, is among the techniques of choice for reconstructing full-thickness lower eyelid defects so as to restore normal anatomy and function with the best possible cosmetic outcome. The purpose of this study is to report the outcome of a series of patients treated with a modified Hughes procedure following malignant tumor removal. METHODS: This retrospective study included 45 consecutive cases of modified Hughes procedures performed between January 2013 and October 2015...
2016: European Journal of Medical Research
Yen-Chang Chu, Ju-Wen Yang, Yueh-Ju Tsai, Shu-Ya Wu, Yi-Lin Liao, Hsueh-Yen Chu
The study aims to report the surgical outcome of a retractor redirection procedure for involutional entropion repair for Asians. The study included all cases diagnosed with involutional entropion and significant ocular irritation who presented from 2008 to 2012. Sixty-seven eyelids in 54 patients were included in this study. All cases were operated on by one surgeon and had a minimum of 12-months follow-up. Success was defined as cases showing no recurrence of entropion with forceful eyelid squeezing postoperatively...
August 2016: Orbit
Won-Kyung Cho, Su-Kyung Jung, Ji-Sun Paik, Suk-Woo Yang
Patients with anophthalmic or phthisis socket suffer from cosmetic problems. To resolve those problems, the authors present the surgical outcomes of deep superior sulcus (DSS) augmentation using acellular dermal matrix in patients with anophthalmic or phthisis socket. The authors retrospectively reviewed anophthalmic or phthisis patients who underwent surgery for DSS augmentation using acellular dermal matrix. To evaluate surgical outcomes, the authors focused on 3 aspects: the possibility of wearing contact prosthesis, the degree of correction of the DSS, and any surgical complications...
July 2016: Journal of Craniofacial Surgery
Alexandra G Kesselring, Paul Promes, Elske M Strabbing, Karel G H van der Wal, Maarten J Koudstaal
The aim of this study is to analyze the development of lower eyelid malposition following reconstruction of orbital fractures, in relation to the incisions used for access. A total of 198 surgical orbital floor reconstructions were performed in 175 patients between 2001 and 2011. Preoperative and postoperative presence of lower eyelid malposition of patients was reported. The types of incision used for access were as follows: approach via laceration (4.5%), via preexisting scar (16.2%), infraorbital (40.9%), subciliar (23...
June 2016: Craniomaxillofacial Trauma & Reconstruction
Samuel Hahn, Shaun C Desai
Lower lid malposition is a common yet demanding problem that both functional and cosmetic eyelid surgeons will face. It encompasses a spectrum of lower eyelid conditions ranging from lower lid retraction to frank ectropion and entropion. The causes of lower lid malposition are numerous, and the problem can be challenging to correct even for experienced surgeons. Proper treatment of lower lid malpositioning requires a clear understanding of the lower eyelid anatomy, careful preoperative assessment, and appropriate selection of surgical and nonsurgical interventions to have a successful outcome...
May 2016: Facial Plastic Surgery Clinics of North America
M Chi, H J Kim, R Vagefi, R C Kersten
PurposeTo analyze the efficacy of modified tarsotomy for the management of severe cicatricial entropion.MethodsTwenty-seven eyelids of 18 patients who underwent modified tarsotomy between March 2011 and July 2013 were retrospectively assessed. The data collected included patient demographics, etiology of cicatricial entropion, and surgical history. Outcome measures included surgical success rate, preoperative and postoperative eyelid position, and surgery-related complications.ResultsMean follow-up time was 13...
July 2016: Eye
E Szabó, M Palos, P Skalická
INTRODUCTION: Ocular cicatricial pemphigoid (OCP) is rare, severe, sight threatening autoimmune disease of the conjunctiva, which affects elderly patients, more often women. AIM: To evaluate the success rate of stabilisation of ocular findings in patients with OCP. METHODS: Retrospective study of patients from Centre of Conjunctival and Corneal Diseases at Department of Ophthalmology, General University Hospital and 1st Medical Faculty of Charles University in Prague in 1992-2013 was performed...
February 2016: Ceská a Slovenská Oftalmologie
Selam Yekta Sendul, Burcu Dirim, Mehmet Demir, Zeynep Acar, Atilla Gokce Demir, Ali Olgun, Semra Tiryaki, Cemile Ucgul, Dilek Guven
BACKGROUND: The purpose of this study was to evaluate the results of tarsoaponeurectomy in patients with unsuccessful results after repetitive surgery or who developed post-traumatic blepharoptosis. METHODS: The files of 107 patients (136 eyes) on whom surgery was performed between January 2010 and December 2014 due to blepharoptosis were scanned retrospectively. Among these patients, the files and operational notes of eight patients who underwent surgery through the method of tarsoaponeurectomy were examined in detail...
2016: BMC Ophthalmology
Tomomi Iuchi, Yasuhiro Takahashi, Hyera Kang, Shinichi Asamura, Noritaka Isogai, Hirohiko Kakizaki
PURPOSE: To examine whether an inward upper eyelid push on the lower eyelid margin during eyelid closure is involved in involutional lower eyelid entropion. METHODS: This prospective observational study included 34 sides from 27 patients with involutional lower eyelid entropion. The positional relationship between the upper and the affected lower eyelid margins during eyelid closure were examined before and after posterior layer advancement of the lower eyelid retractors...
March 16, 2016: European Journal of Ophthalmology
Hany A Emam, Mark R Stevens, Peter E Larsen, Courtney A Jatana
OBJECTIVE: Transconjunctival approach to the lower one-third of the orbit is commonly used to avoid transcutaneous incisions when surgical access is needed. A lateral canthotomy is used in conjunction with this approach if increased lateral exposure is required. A major disadvantage to lateral canthotomy is difficulty in resuspension of the lateral canthal tendon, which can lead to unaesthetic outcomes. The present report describes two cases of lateral tarsal incision or, as we decided to call it, the "lateral tarsotomy" technique...
July 2016: Oral Surgery, Oral Medicine, Oral Pathology and Oral Radiology
Kaveh Vahdani, Aristeidis Konstantinidis, Vladimir Theodor Thaller
Congenital tarsal kink syndrome is a rare type of upper eyelid entropion associated with keratitis due to trichiasis. The authors describe a new technique for treatment of congenital horizontal tarsal kink syndrome by means of absorbable everting sutures via a posterior approach. A neonate was referred to eye clinic with right eye redness and corneal opacity since birth. Clinical examination revealed inversion of the eyelid margin with a horizontal kink in the tarsal plate and corneal ulcer. Surgical treatment resulted in successful correction of upper eyelid malpositioning, rapid resolution of the corneal ulcer with excellent anatomical outcome, visual development and cosmesis, with no evidence of recurrence after 6 years...
March 4, 2016: Ophthalmic Plastic and Reconstructive Surgery
Rahul S Tonk, Dale R Meyer
PURPOSE: To describe the manual provocation test (MPT), a novel test for intermittent involutional entropion of the lower eyelid. METHODS: Retrospective review of patients with intermittent entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who had no apparent entropion at the time of initial consultation. Results of the MPT were recorded for this group, and then evaluated prospectively in an age-matched comparison group of patients presenting for blepharoplasty who had no history of entropion...
April 2016: Cornea
G H Aghai, A Gordiz, K G Falavarjani, M B Kashkouli
PURPOSE: To assess the results of anterior lamellar recession, blepharoplasty, and supratarsal fixation procedure in patients with upper eyelid cicatricial entropion without lagophthalmos. METHODS: In a prospective interventional case series, 52 eyelids (32 patients) were included (April 2009-December 2010). Excluded were patients with previous eyelid surgeries, lagophthalmos, and <12 months of follow-up. Using a microscope, after recessing anterior lamella 3-4 mm above the eyelid margin, it was fixed with 4-5 interrupted 6-0 vicryl sutures...
April 2016: Eye
Brent Skippen, Alex Hamilton, Sam Evans, Ross Benger
PURPOSE: To present the results of 1-stage surgical advancement flaps for the repair of large full thickness lower eyelid defects. These avoid the disadvantages of the 2-stage Hughes procedure and provide favorable functional and aesthetic outcomes. METHODS: A retrospective case series of 36 lower eyelid repairs performed on 31 patients by a single surgeon in Sydney, Australia is presented. The selection criterion was a horizontal defect size 10 mm or greater that could have "classically" been repaired with a 2-stage Hughes procedure...
March 2016: Ophthalmic Plastic and Reconstructive Surgery
Ivano Iozzo, Vera Tengattini, Valentina A Antonucci
BACKGROUND: Spasmodic senile entropion (SE) is characterized by the inward turning of the eyelid. SE typically occurs spontaneously, but sometimes after ocular surgery. As of today, it is still lacking a gold standard technique. AIMS: To report the results of 11 cases of involutional entropion of the lower lid successfully treated with an injection of botulinum toxin, to evaluate the clinical results, and to document the duration of relief. METHODS: Eleven patients with senile entropion were treated with abobotulinum toxin A...
June 2016: Journal of Cosmetic Dermatology
Trevor Kerr, Ronald Mancini
PURPOSE: Cicatricial entropion is typically an acquired condition that can affect the upper and lower eyelids. The purpose of this prospective study is to examine the effect of shared buccal mucosal grafts for simultaneous repair of severe upper and lower eyelid cicatricial entropion on eyelid position. METHODS: Patients at the University of Texas-Southwestern Medical Center Aston Ophthalmology clinic were identified who were diagnosed with cicatricial entropion...
2016: Orbit
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