Comparison of the Outcomes of Internal-Fixation Versus Bolster-Suture Tarsorrhaphy

Mocan, Mehmet Cem; Erdogan-Poyraz, Ceren; Erdener, Uğur; Orhan, Mehmet; İrkeç, Murat

doi:10.1097/iop.0b013e3180502d70

Cited by 6 publications

(7 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…An ideally effective technique would be able to correct all the causative factors, while minimizing the recurrence rate 3 . The literature contains descriptions of several techniques for correcting involutional lower eyelid entropion 1 3 9 10 11 12 13 14 15 16 17 18 19 20 . Varying success and recurrence rates have been reported to result from different modified or combined entropion surgical procedures.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Everting sutures alone are known to be a safe, fast, simple, and effective treatment for involutional entropion, but the recurrence rate was 15% at a mean follow-up of 31 months 15 16 . If there is horizontal eyelid laxity, an everting suture can be combined with LTS to increase the efficacy of the everting suture procedure 16 17 18 . The recurrence rate in procedures combining everting sutures with LTS was reported to be 0% and 2% by Scheepers et al 17 , with a minimum follow-up of 18 months, and Barnes et al 18 , with a mean follow-up of 18 months, respectively.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

Şen

Yalcinsoy

2020

Arch Plast Surg

View full text Add to dashboard Cite

Background This study evaluated the outcomes of a new modified Wies technique for patients with involutional lower eyelid entropion without horizontal eyelid laxity.Methods This case series retrospectively analyzed consecutive patients with entropion who underwent surgery between January 2014 and March 2019 by the same experienced surgeon. Horizontal eyelid laxity, lower eyelid retractor function, and orbicularis muscle overriding were recorded before and after surgery. The recurrence rate and complications were also evaluated. This technique consisted of modified everting sutures combined with reattachment of the lower eyelid retractors to the inferior tarsal plate.Results This new technique was performed on 28 eyes in 25 patients (mean age, 71.0±8.0 years; range, 56–87 years). Nine patients (36%) were women and 16 (64%) were men. Lower lid entropion was present in the right eye in 14 patients (56%), the left eye in eight patients (32%), and both eyes in three patients (12%). The mean follow-up period was 27.3±12.4 months (range, 6–60 months). No intraoperative complications were observed. All patients’ symptoms were alleviated. One patient (3.6%) had recurrence after 2 years (success rate, 96.4%). The remaining 27 eyes maintained a satisfactory and comfortable eyelid position. No patients had problems with scarring.Conclusions The approach described herein proved to be safe and feasible in eyes with involutional lower eyelid entropion without horizontal eyelid laxity. These advantages of this procedure include the lack of a conjunctival scar, punctal eversion, and lateral canthal angle deformation. A low recurrence rate and a long interval to recurrence were also observed.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

Şen

Yalcinsoy

2020

Arch Plast Surg

View full text Add to dashboard Cite

show abstract

“…Наиболее эффективным способом как временной, так и постоянной коррекции ПЛ традиционно является тарзорафия, которую следует считать методом выбора при роговичной патологии, включая и пациентов, ожидаю-щих постановку имплантата в верхнее веко и проведение динамических процедур [1,14,[19][20][21]. К сожалению, за счет процедур типа «tarsal strip» и периферических канто-рафий не всегда представляется возможным приподнять центральную часть опущенного нижнего века.…”

unclassified

Correction of paralytic lagophthalmos

Iskusnykh

Grusha²

2015

Vestn. oftal'mol.

View full text Add to dashboard Cite

“…Tarsorrhaphy is a commonly used method to correct PL on a temporary or permanent basis, and should be considered as a procedure of choice in cases with corneal involvement, including those waiting for upper eyelid implantation, dynamic procedures or the outcomes of the latter [1,3,11,12,13]. The suture tarsorrhaphy may be done in patients with gradual deterioration of the corneal state, poor general condition (e.g., following neurosurgery or trauma), inadequate behavior, or when the midface lift is unavailable to the patient.…”

mentioning

confidence: 99%

Modern Methods of Repair of Paralytic Lagophthalmos

Груша¹,

Iskusnykh²

2015

Oftalmol Zh

View full text Add to dashboard Cite

Paralytic lagophthalmos (PL) is a rather common pathology dealt by ophthalmologists, neurologists, maxillofacial, and, certainly, ophthalmic plastic surgeons. This specific disease occurs in patients who underwent neurosurgery or complicated midface surgery, and in those with many other conditions [1]. PL management is based on obtaining improved eyelid closure with cosmetically acceptable narrowing of the palpebral fissure and "a stable cornea". In this review we hope to share our knowledge of a variety of details involved in planning and implementation of the surgical treatment of PL [2]. Lubrication with tear drops and other cornea wetting agents (during the day) and ointment (at night) is a cornerstone of treatment for patients with PL. The lower eyelid is elevated with plaster, if required. Since the n. petrosus superficialis major is responsible for secretory innervation of the lacrimal gland, any involvement of this nerve will drastically reduce tear production and may require temporary or permanent punctal occlusion or tarsorrhaphy. Soft contact lenses may be used for PL treatment and prevention, but due to poor lens retention and special care requirements, most patients refrain from wearing them. In severe corneal damage, moisture chambers are applied for ocular surface protection. External eyelid weights offer some convenience to the patient and can be placed by

show abstract

Comparison of the Outcomes of Internal-Fixation Versus Bolster-Suture Tarsorrhaphy

Abstract: Internal fixation tarsorrhaphy is associated with a more favorable outcome than rubber bolster suture tarsorrhaphy in patients who require permanent eyelid closure.

Cited by 6 publications

References 5 publications

Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

Correction of paralytic lagophthalmos

Modern Methods of Repair of Paralytic Lagophthalmos

Contact Info

Product

Resources

About