Eyelid disorders: frequency of occurrence and profile of carriers in a Brazilian population sample

Wanzeler, Ana Cláudia Viana; Nascimento, Marjorie Fornazier do; Sousa, Roberta Lílian Fernandes de; Padovani, Carlos Roberto; Schellini, Silvana Artioli

doi:10.5935/0034-7280.20150047

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…[4-6, 10, 16] Chronic blepharitis, scarring of the palpebral margin, and idiopathic etiology had the greatest association to trichiasis. Although trachoma is considered the main cause of trichiasis [4,17] and bilateral and the upper eyelid pathology occur in patients with trichiasis associated to trachoma, [6,19] it was detected in only 4.1% of our study group.…”

Section: Discussionmentioning

confidence: 55%

Diode Green Laser in the Lid Trichiasis Treatment

Bezerra

Meneghim

Padovani

et al. 2021

JOVR

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Purpose: To validate the standard values and evaluate the success rate in the treatment of minor and major trichiasis using thermoablation with a diode green laser. Methods: In this interventional prospective study, individuals with minor or major trichiasis who were treated with thermoablation using diode green laser were included. The patients’ mean age was 72.1 years; the majority were females (54.1%) and Caucasian (98%). The parameters of the diode laser were wavelength of 532 nm, application time of 200 ms, target size of 50 μm, interval between the shots 150 to 200 ms, and power of 600 to 750 mW. The number of shots was defined by the depth of ablation sufficient to reach the pilus hair bulb. The patients were evaluated by slit-lamp every 3 to 4 months, for up to 15 months. The treatment success rate and the association between variables were analyzed. Results: The study sample was comprised of 98 patients with 135 affected lids and 337 lashes with trichiasis. Minor trichiasis (91.8%), unilateral trichiasis (67.3%), trichiasis affecting the lower eyelid (85.9%), and trichiasis resulting from blepharitis (64.3%) were the most common presentation profiles. The overall cure rate at the end of the study was 85%, with 69% being cured with a single session and 82.8% with two treatment sessions. Conclusion: Thermoablation using a diode green laser applying the specified parameters to treat minor and major trichiasis is effective and results in high cure rate.

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Section: Discussionmentioning

confidence: 55%

Diode Green Laser in the Lid Trichiasis Treatment

Bezerra

Meneghim

Padovani

et al. 2021

JOVR

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Outcomes of two surgical techniques for major trichiasis treatment

Ferraz

Meneghim

Galindo‐Ferreiro

et al. 2017

Orbit

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The purpose of this article is to analyze the outcomes of two surgical techniques to treat major trichiasis. A retrospective chart review of 67 patients (89 eyelids) with major trichiasis was performed who underwent surgical treatment using one of two techniques: intermarginal split lamella with graft (ISLG group) or lid lamella resection (LLR group). There were 30 lids in the ISLG group with mean patient age of 71.8 years and 63.3% were females. There were 59 lids in the LLR group with mean patient age of 72.5 years and 52.5% were female. The minimum postoperative follow up was six months. Statistical analysis included descriptive measures, Goodman association test for contrasts between and within multinomial populations and nonparametric Mann-Whitney test for comparison between groups. P < 0.05 was considered statistically significant. The underlying causes of trichiasis were blepharitis (37.07%), chronic meibomitis (21.3%), multiple causes (20.2%), ectropion (11.2%), actinic keratosis (6.7%), or prior ocular surgery (3.3%). Postoperatively, in the ISLG group, there were 20% lids with complete success, 50% underwent laser or electrolysis, 16.7% required further surgery, and 13.3% were unsuccessful. Postoperatively, in the LLR group, there were 47.5% eyelids with complete success, 46.7% underwent laser or electrolysis, 6.8% required further surgery, and 5.1% were unsuccessful. There was a higher statistical chance of complete success with LLR (P < 0.05). LLR is superior to ISLG surgery for the treatment of major trichiasis. There is a greater chance of success with LLR and it is technically simpler.

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Eyelid disorders: frequency of occurrence and profile of carriers in a Brazilian population sample

Cited by 2 publications

References 9 publications

Diode Green Laser in the Lid Trichiasis Treatment

Diode Green Laser in the Lid Trichiasis Treatment

Outcomes of two surgical techniques for major trichiasis treatment

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