Modified lateral tarsal strip for involutional entropion and ectropion surgery

López-García, José Santiago; García-Lozano, I; Giménez-Vallejo, Carlos; Jiménez, Belén; Sánchez, Alfredo García; Juan, Isabel Elosua de

doi:10.1007/s00417-016-3536-2

Cited by 29 publications

(41 citation statements)

References 35 publications

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“…The modified suture placement of the tarsal strip improved the lower eyelid stability and prevented recurrences after surgery. The modified LTS technique is helpful for the management of patients with entropion and ectropion 14 . Patients treated with double sutures and conjunctival cuts in the LTS showed lower horizontal laxity (3.5 ± 0.2) than patients treated with Conventional LTS (5.7 ± 0.2).…”

Section: Discussionmentioning

confidence: 99%

Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

Kadir¹,

Khan

Azad³

et al. 2021

ZHSWMCJ

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To analysis the effectiveness of lateral tarsal strip for the surgical repair of the marginal malpositions of the lower eyelid. A retrospective, consecutive case series of patients who underwent lateral tarsal strip (LTS) procedure for all types of involutional lower eyelid malposition (entropion and ectropion) and paralytic ectropion, at one tertiary eye centre of Dhaka, Bangladesh, between January 2013 and December 2017. All records were evaluated to determine the indications, management strategies, surgical outcome and postoperative complications. A total of 46 lower eyelids marginal malposition’s of 41 patients were studied in this study and lateral tarsal strip 9LTS) procedure was used to repair the involutional entropion (52%), involutional ectropion (35%), and paralytic ectropion (13%) of the lower eyelid. The male to female ratio was 2:1. The mean age was 61.34 years with 26 years to 85 years age range. The surgical correction was satisfactory in 93.5% cases. Lateral tarsal strip (LTS) procedure achieved statistically significant better anatomical and functional outcomes for the correction of all types of involutional eyelid marginal malposition’s and paralytic ectropion.

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Section: Discussionmentioning

confidence: 99%

Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

Kadir¹,

Khan

Azad³

et al. 2021

ZHSWMCJ

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“…The LTS group showed a recurrence rate of 11.5% at 12 months, higher than the recurrence rate of the combined procedure (ES + LTS) which was 0% at 18 months in the study by Scheepers et al [21] and 9.4% at 24 months in the study by Ho et al [22]. Published data shows that the recurrence rate of the LTS procedure alone varies from 14–22% while López-García et al reported a rate of 4% for a modified LTS technique [23–25].…”

Section: Discussionmentioning

confidence: 99%

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

et al. 2019

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Introduction To compare the anatomical and functional outcome and changes in the quality of life (QoL) over time of the lateral tarsal strip (LTS) versus the Quickert everting sutures (ES) for the repair of primary involutional lower eyelid entropion. Methods Forty-five patients (54 eyes) with primary involutional lower eyelid entropion were recruited in a prospective randomized clinical trial over 3-year period. Twenty-six eyes were randomized to the LTS technique and 28 to the ES procedure. Primary outcome was the anatomical correction of the eyelid at the final assessment in 1 year. Secondary outcomes were function and symptoms assessment with a QoL questionnaire at 6 months. Fisher’s exact test was used for the statistical analysis of success rate and gender study and Mann–Whitney U test and logistic regression analysis were used for age study. The Wilcoxon and Mann–Whitney U tests were used for the analysis of the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25). Results At the 6-month follow-up, 25 eyes (96.2%) of the LTS group and 20 (71.4%) of the ES group had favorable outcome ( P = 0.025). There were one and eight eyes, respectively, with early recurrence. At the final 12-month evaluation, 23 eyes (88.5%) in the LTS group and 16 eyes (57.1%) in the ES group were successful. Three (11.5%) and 12 (42.9%) eyes respectively showed postoperative recurrence. There was a statistically significant difference between the two groups ( P = 0.015) for the primary outcome, whereas age and gender did not influence success. The NEI VFQ-25 showed statistically significant subjective improvement from baseline in most categories of the QoL. No significant difference between the two procedures was detected at 6 months. Conclusion This study suggests that the LTS procedure has a superior surgical success rate and reduction of symptoms compared with the ES for the repair of involutional lower eyelid entropion. Both procedures showed similar improvement of the postoperative QoL. Trial registration International Clinical Trials Registry Platform identifier: ACTRN12616000620426.

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“…In our study, we describe a new approach based on Hill’s procedure in involutional entropion with documented eyelid laxity in the Chinese population. LTS is a popular procedure for eyelid shortening and can be used either in entropion or ectropion correction [7, 9]. Although LTS is effective in tightening the eyelid, it is known to have disadvantages such as under correction, webbing, recurrence and disruption of the lateral canthal angle [20, 21].…”

Section: Discussionmentioning

confidence: 99%

“…Although LTS is effective in tightening the eyelid, it is known to have disadvantages such as under correction, webbing, recurrence and disruption of the lateral canthal angle [20, 21]. López-García et al [7] reported recurrence rate of 17.4% after conventional tarsal strip surgery for involutional entropion. It can be combined with other procedures such as everting sutures [13, 14, 17] and inferior retractor plication, shortening or advancement [12, 18, 19].…”

Section: Discussionmentioning

confidence: 99%

Combined pentagonal resection and inferior retractor plication in involutional entropion

2018

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BackgroundTo describe the effectiveness of combined pentagonal resection and inferior retractor plication (PR + IRP) based on the Hill’s procedure for the treatment of primary involutional lower eyelid entropion in the Chinese population.MethodsThis is a retrospective review of 52 eyelids of 46 patients who underwent PR + IRP for treatment of involutional entropion between May 2009 and May 2017. Patient demographics, presence of pre-operative laxity, post-operative outcome and presence of complications were all recorded from electronic patient records.ResultsA total of 52 eyelids of 46 patients received PR + IRP. None had recurrence of entropion, 1 (2.1%) had residual entropion, 2 eyelids (4.4%) had lower eyelid notching, 1 eyelid (2.2%) had infection and 1 eyelid (2.2%) had overcorrection. The overall success rate was 90.4%.ConclusionCombined PR + IRP is an effective surgical procedure for primary involutional entropion with low recurrence rate. However, it may carry risk of eyelid notching post-operatively.

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Modified lateral tarsal strip for involutional entropion and ectropion surgery

Cited by 29 publications

References 35 publications

Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

Outcome of Lateral tarsal strip (LTS) procedure in the correction of eyelid malposition

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

Combined pentagonal resection and inferior retractor plication in involutional entropion

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