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Comparison of Stab Incision and Eyelid Crease Incision Techniques in Children with Revision Frontalis Sling Surgeries using Silicone Rods.
Korean Journal of Ophthalmology : KJO 2023 December 16
AIM: To compare stab and eyelid crease incision techniques in revision frontalis sling surgeries using silicone rods.
METHODS: This retrospective study involved 52 eyes in 48 consecutive pediatric patients who underwent revision frontalis sling surgery between 2008 and 2019. All primary surgeries were performed by making eyelid crease incisions and suturing of silicone rods onto the tarsal plates. The revision surgeries were performed by either making stab incisions over the eyelid through which to pass the silicone rods (group A), or by refixing the same or a new silicone rod to the tarsal plate (group B). The surgical results were compared.
RESULTS: The mean follow-up period was 22.4 months ( 6-62 months) and the mean age of the patients was 6.1 years (1-16 years). There were 28 female and 20 male patients. Surgical success was achieved in 23/28 (82%) patients in group A, and 12/24 (50%) patients in group B. The difference between the groups was statistically significant (p= 0.012). Superficial punctate epithelial defects were detected in 6 (21.4%) group A patients and 7 (29.1%) group B patients. In group B, lid hematoma occurred in 3 (12.5%) patients and entropion occurred in 3 (12.5%) patients. The silicone rods were removed from two eyes, and entropion spontaneously resolved in one eye with close follow-up.
CONCLUSION: Using the stab incision technique increases revision frontalis sling surgery success rates when primary surgeries are performed using eyelid crease incisions and suturing silicone rods to the tarsal plates in children.
METHODS: This retrospective study involved 52 eyes in 48 consecutive pediatric patients who underwent revision frontalis sling surgery between 2008 and 2019. All primary surgeries were performed by making eyelid crease incisions and suturing of silicone rods onto the tarsal plates. The revision surgeries were performed by either making stab incisions over the eyelid through which to pass the silicone rods (group A), or by refixing the same or a new silicone rod to the tarsal plate (group B). The surgical results were compared.
RESULTS: The mean follow-up period was 22.4 months ( 6-62 months) and the mean age of the patients was 6.1 years (1-16 years). There were 28 female and 20 male patients. Surgical success was achieved in 23/28 (82%) patients in group A, and 12/24 (50%) patients in group B. The difference between the groups was statistically significant (p= 0.012). Superficial punctate epithelial defects were detected in 6 (21.4%) group A patients and 7 (29.1%) group B patients. In group B, lid hematoma occurred in 3 (12.5%) patients and entropion occurred in 3 (12.5%) patients. The silicone rods were removed from two eyes, and entropion spontaneously resolved in one eye with close follow-up.
CONCLUSION: Using the stab incision technique increases revision frontalis sling surgery success rates when primary surgeries are performed using eyelid crease incisions and suturing silicone rods to the tarsal plates in children.
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