Non-incisional eyelid everting suture technique for treating lower lid epiblepharon

Seo, Ji Won; Kang, Seok Jin; Ahn, Chanjoo; Esmaeli, Bita; Seok, Ho

doi:10.1136/bjophthalmol-2017-311635

Cited by 12 publications

(7 citation statements)

References 16 publications

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“…According to previous studies, the recurrence rate for incision techniques was 0-9.1% 1,4,12,14 and that for suture techniques was 7.3-44.4%. 1,13,15,16 The frequencies of well-corrected outcomes in the two groups were slightly lower than the treatment success rates in previous studies. Previous reports, on contrary, provided a varying de nition of cure and recurrence.…”

Section: Discussionmentioning

confidence: 61%

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Comparing the Effectiveness of Two Surgical Techniques for Treating Lower Lid Epiblepharon in Children: A Randomized Controlled Trial

Takeuchi

Matsumura

Ohno

et al. 2022

Preprint

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A multicenter randomized controlled trial was conducted to compare the effectiveness of incisional and nonincisional surgical techniques for treating lower lid epiblepharon in children. The study included 89 eyes from 50 children aged 3–15 years (mean, 7.5 ± 2.4 years) with clinically significant moderate lower lid epiblepharon. Patients were randomly assigned to either incisional (modified Hotz procedure with lid margin splitting; 45 eyes of 25 patients) or nonincisional (44 eyes of 25 patients) surgery groups. Treatment outcomes were evaluated 6 months after surgery and classified into three grades: well-corrected, no ciliary touch, and superficial keratitis; under-corrected, ciliary touch, and superficial keratitis; and over-corrected, eyelid ectropion, and insufficient eyelid closure. Changes in astigmatism were compared between the two techniques after surgery. Incisional surgery provided a significantly higher percentage (77.8%) of well-corrected treatment results (P = 0.026; odds ratio, 2.88; 95% confidence interval, 1.07–8.22) than nonincisional surgery (55.4%). The mean change in astigmatism pre and post surgery was − 0.24 ± 0.42 and − 0.01 ± 0.47 D in the incisional and nonincisional surgery groups, respectively. The improvement in astigmatism 6 months after surgery was significantly higher in the incisional surgery group than in the nonincisional surgery group (P = 0.008). The incisional surgical treatment for epiblepharon in children resulted in a higher number of well-corrected patients, indicating an absence of both ciliary touch and superficial keratitis as well as statistically significant improvements in astigmatism correction.

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Section: Discussionmentioning

confidence: 61%

“…The nonincisional technique (buried sutures) was based on the method described by Seo et al 13 A double-armed 7-0 polyester suture was used. Before suturing, a small incision was made at the exit site of the suture needle.…”

Section: Surgical Techniquesmentioning

confidence: 99%

Comparing the Effectiveness of Two Surgical Techniques for Treating Lower Lid Epiblepharon in Children: A Randomized Controlled Trial

Takeuchi

Matsumura

Ohno

et al. 2022

Preprint

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“…However, severe corneo-ciliary touch can cause prompt corneal injury and can later result in astigmatism and even higher-order aberrations [ 15 , 16 ]. In this context, Tan P indicated that establishing a common objective system for grading epiblepharon is advisable to help determine the appropriate indications for surgery and has introduced studies related to epiblepharon grading [ 17 – 19 ]. In our study, surgery was indicated when the condition caused significant keratopathy and/or persistent irritative symptoms.…”

Section: Discussionmentioning

confidence: 99%

High-frequency radio wave electrocautery in modified Hotz operations for epiblepharon correction

2021

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To report the experience and advantageous effects of high-frequency radio wave electrocautery in modified Hotz operations for epiblepharon, We reviewed the records of all pediatric patients who underwent a modified Hotz operation with the use of high-frequency radio wave electrocautery (Ellman Surgitron Dual Frequency RF S5; Ellman International, Inc, Hewlett, NY) for epiblepharon between March 2016 and September 2019 at Korea University Guro Hospital. We evaluated the success rate, complications, recurrence rate and degree of satisfaction of our technique. Information from the medical records was collected, including demographics, ocular symptoms, severity of keratopathy, operation time, success/recurrence rate, and complications. 133 patients (98.52%) showed good correction of epiblepharon without complications or unpleasant cosmetic problems during 3 months of median follow-up period. Two patients (1.48%) showed recurrent corneociliary touch, but the degree was very mild and re-operation was not performed. One patient showed mild ectropion on his left lower eyelid, but the patient recovered well without operation. For complications, suture abscess and granulation were the most common, 3 cases in each, but all of those were temporary and resolved with conservative management. The approach with electrocautery for epiblepharon allows precise and fast incision of the lower eyelid, little bleeding, and minimal scarring. Surgical outcomes associated with the modified Hotz operation with electrocautery were consistent with previous studies.

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“…The nonincisional technique (buried sutures) was based on the method described by Seo et al 13 . A double-armed 7–0 polyester suture was used.…”

Section: Methodsmentioning

confidence: 99%

Comparing the effectiveness of two surgical techniques for treating lower lid epiblepharon in children: a randomized controlled trial

Takeuchi

Matsumura

Ohno

et al. 2023

Sci Rep

View full text Add to dashboard Cite

A multicenter randomized controlled trial was conducted to compare the effectiveness of incisional and nonincisional surgical techniques for treating lower lid epiblepharon in children. The study included 89 eyes from 50 children aged 3–15 years (mean, 7.5 ± 2.4 years) with moderate lower lid epiblepharon. Patients were randomly assigned to either incisional (modified Hotz procedure with lid margin splitting; 45 eyes of 25 patients) or nonincisional (44 eyes of 25 patients) surgery groups. Treatment outcomes and changes in astigmatism were evaluated 6 months after surgery. Incisional surgery provided a significantly higher percentage (77.8%) of well-corrected treatment results (P = 0.026; odds ratio, 2.88; 95% confidence interval, 1.07–8.22) than nonincisional surgery (55.4%). The mean change in astigmatism 6 months after surgery was − 0.24 ± 0.42 and − 0.01 ± 0.47 D in the incisional and nonincisional surgery groups, respectively. The improvement in astigmatism was significantly higher in the incisional surgery group than in the nonincisional surgery group (P = 0.008). The incisional surgical treatment for moderate epiblepharon in children resulted in a higher number of well-corrected patients, indicating an absence of both ciliary touch and superficial keratitis as well as statistically significant improvements in astigmatism correction.

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Non-incisional eyelid everting suture technique for treating lower lid epiblepharon

Cited by 12 publications

References 16 publications

Comparing the Effectiveness of Two Surgical Techniques for Treating Lower Lid Epiblepharon in Children: A Randomized Controlled Trial

Comparing the Effectiveness of Two Surgical Techniques for Treating Lower Lid Epiblepharon in Children: A Randomized Controlled Trial

High-frequency radio wave electrocautery in modified Hotz operations for epiblepharon correction

Comparing the effectiveness of two surgical techniques for treating lower lid epiblepharon in children: a randomized controlled trial

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