Anterior lamellar recession for management of upper eyelid cicatricial entropion and associated eyelid abnormalities

Gawdat, Tamer Ismail; Kamal, Mohamed; Saif, Ahmed Tamer Sayed; Diab, Mostafa Mohammed

doi:10.18240/ijo.2017.12.07

Cited by 7 publications

(4 citation statements)

References 20 publications

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Section: Introductionmentioning

confidence: 99%

“…9 Few studies present the effect of modifications to this procedure in trachomatous entropion and trichiasis. 10 Because trachoma is common in our country, there is a probability that the number of surgeries for TT will rise. 5 In the present study, we aimed to assess the combination of anterior lamellar recession with blepharoplasty, suprasternal fixation, and internal eyelash bulb extirpation of aberrant lashes posteriorly located in patients with any grade of upper eyelid trachomatous cicatricial entropion.…”

Section: Introductionmentioning

confidence: 99%

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Modified Anterior Lamellar Recession for All Grades of Upper Eyelid Trachomatous Cicatricial Entropion

Ibrahim,

Tharwat,

Khalil

et al. 2023

OPTH

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Purpose This study aims to assess the combination of anterior lamellar recession (ALR) with blepharoplasty, suprasternal fixation, and internal eyelash bulb extirpation of aberrant lashes posteriorly located in patients with any grade of upper eyelid trachomatous cicatricial entropion. Patients and Methods We reviewed the clinical data of eighty-six patients (143 eyelids) including age, gender, systemic medical illnesses, and comprehensive ophthalmological assessment. Eyelid evaluation was recorded, including laterality, previous surgical technique used, possible trichiasis etiology, abnormality of the lid margin, tarsal plate consistency (shrinkage or loosening), skin fold overhanging, laxity of the pretarsal skin, margin reflex distance 1 (MRD1), lagophthalmos, and lid retraction. The success rate was assessed at 3, 6, 9, and 12 months postoperative. Results The success rate was 97.2% in the third month, which decreased significantly to 92.3% in the 6th month and 90.2% in the 9th month (P = 0.01, and 0.001 respectively). In the 9th month, we had fourteen failed cases. All of them were submitted for a second intervention. Three underwent electrolysis, four cases underwent re-internal bulb extirpation, four cases underwent the same procedure, and three cases underwent epilation. The success of the failed cases after the second intervention was significantly associated with the type of reintervention (P = 0.03), in which all of them succeed except two cases that underwent epilation. Kaplan-Meier analysis showed that the mean recurrence time in our study was 6.8 months (95% CI = 5.8–7.7 months). Conclusion This study showed the combination of ALR with blepharoplasty, suprasternal fixation, and cauterization or internal bulb extirpation of posteriorly located lashes procedure resulted in a high success rate in patients with any form of UCE with no increase in incidence or degree of lagophthalmos associated with UCE.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Modified Anterior Lamellar Recession for All Grades of Upper Eyelid Trachomatous Cicatricial Entropion

Ibrahim,

Tharwat,

Khalil

et al. 2023

OPTH

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“…Hence, excess skin and muscle removal through blepharoplasty have been recommended to prevent downward migration of the anterior lamella and provide a less bulky eyelid. [ 2 3 4 ] And finally, lid crease formation with bites through the levator helps maintain an upward vector of traction to the anterior lamella and lash eversion. [ 5 ]…”

mentioning

confidence: 99%

Comment on: Upper eyelid levator-recession and anterior lamella repositioning through the gray-line – Avoiding a skin-crease incision

Gawdat¹,

Diab²

2018

Indian J Ophthalmol

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“…showed that out of 97 eyelids with upper lid cicatricial entropion, 18 patients underwent upper lid retractor recession with good results. [ 2 ] Barr et al . assumed that the high recurrence rate observed (21%) in their study following anterior lamellar recession was due to not performing concurrent levator recession.…”

mentioning

confidence: 99%

Comment on: Upper eyelid levator-recession and anterior lamella repositioning through the gray-line – Avoiding a skin-crease incision

Yadalla

Rajagopalan

Bakthavatchalam

2018

Indian J Ophthalmol

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Anterior lamellar recession for management of upper eyelid cicatricial entropion and associated eyelid abnormalities

Abstract: Based on the principles of lamellar recession and concurrently addressing the associated lid problems, this approach is an effective and safe treatment of UCE.

Cited by 7 publications

References 20 publications

Modified Anterior Lamellar Recession for All Grades of Upper Eyelid Trachomatous Cicatricial Entropion

Modified Anterior Lamellar Recession for All Grades of Upper Eyelid Trachomatous Cicatricial Entropion

Comment on: Upper eyelid levator-recession and anterior lamella repositioning through the gray-line – Avoiding a skin-crease incision

Comment on: Upper eyelid levator-recession and anterior lamella repositioning through the gray-line – Avoiding a skin-crease incision

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