Recurrence of Trachomatous Trichiasis 17 Years After Bilamellar Tarsal Rotation Procedure

Khandekar, Rajiv; Al-Hadrami, Khalfan; Sarvanan, Natarajan; Harby, Saleh Al; Mohammed, Ali Jaffer

doi:10.1016/j.ajo.2006.01.024

Cited by 21 publications

(9 citation statements)

References 9 publications

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“…Previous studies have shown the WHO endorsed BTR technique to have recurrence rates of between 18.4% and 55% . In comparison to these studies, our results indicate a BTR recurrence of 49%.…”

Section: Discussionsupporting

confidence: 52%

See 1 more Smart Citation

Comparison of trichiasis recurrence after primary bilamellar tarsal rotation or anterior lamellar repositioning surgery performed for trachoma

Barr

Essex

Liu

et al. 2013

Clinical Exper Ophthalmology

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Section: Discussionsupporting

confidence: 52%

“…Previous studies have shown the WHO endorsed BTR technique to have recurrence rates of between 18.4% and 55%. [21][22][23][24][25] In comparison to these studies, our results indicate a BTR recurrence of 49%. Previous studies have shown variants of ALR to have recurrence rates of between 2.9% and 29%.…”

Section: Discussionmentioning

confidence: 38%

Comparison of trichiasis recurrence after primary bilamellar tarsal rotation or anterior lamellar repositioning surgery performed for trachoma

Barr

Essex

Liu

et al. 2013

Clinical Exper Ophthalmology

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“…However, even within this group of 81 people, 80% reported that they would undergo repeat surgery. For the remaining 20%, given that their first surgery was not corrective, they may believe a repeat surgery will not help, and indeed recurrence following repeat surgery is more common than after initial TT surgery 15. The vast majority of participants with moderate to severe postoperative TT (96%) would recommend surgery to others.…”

Section: Discussionmentioning

confidence: 99%

Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial

Oktavec

Cassard

Harding

et al. 2014

Ophthalmic Epidemiology

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Purpose: While quality of life surveys have been conducted in trachomatous trichiasis (TT) surgery populations, little is known about patients’ perceptions of the surgical experience and outcomes.Methods: We interviewed a subset of Partnership for the Rapid Elimination of Trachoma (PRET) surgery trial participants 24 months after surgery. Questions focused on current ocular symptoms, perceived daily functioning, physical appearance, and overall perception of surgery. We stratified participants based on surgical outcomes: normal upper eyelid, postoperative TT, or eyelid contour abnormality (ECA) in one or both eyelids. We compared responses between sexes and surgical outcome groups using contingency tables and Fisher’s exact tests.Results: A total of 483 individuals participated and 86% were very satisfied with surgery results; 96% reported ocular symptom improvement. Participants with moderate to severe ECA or postoperative TT were more likely to report current ocular problems than those with normal eyelids (46% and 58% vs 34%, respectively; p = 0.01 for each comparison). The most common symptom among participants with moderate to severe postoperative TT was feeling lashes touching (blurred vision was the most common among participants with moderate to severe ECA). Overall, 83% stated surgery improved daily life; participants with ECA were less likely to report improvement than others (p = 0.002). Participants who had moderate or severe postoperative TT were least likely to state that they would undergo repeat surgery (80%), followed by participants with ECA (86%).Conclusions: Postoperative TT and ECA both reduced satisfaction with surgery, but appeared to influence different aspects of life. Improving surgical outcomes both by reducing recurrence rates and limiting ECAs are essential.

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“…Although early (within 2 weeks) recurrence of procedures is considered as failure of technique, which is usually due to technical problems; later presence of entropion is considered as recurrence of UCE, which is attributed to healing and tissue realignment to its previous position 2,14 and underlying disease activity and progression of the cicatricial changes in the conjunctiva and tarsus. 2,15,16 The time to failure in this series was between 2-8 months (mean 4.5), which could be attributed to either sliding of anterior lamella during healing process or progression of the background disease. Missing distichiatic and or trichiatic eyelashes during the procedure is considered as attributing factors in such a failure.…”

Section: Discussionmentioning

confidence: 99%

Anterior lamellar recession, blepharoplasty, and supratarsal fixation for cicatricial upper eyelid entropion without lagophthalmos

Aghai

Gordiz

Falavarjani

et al. 2016

Eye

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Purpose To assess the results of anterior lamellar recession, blepharoplasty, and supratarsal fixation procedure in patients with upper eyelid cicatricial entropion without lagophthalmos. Methods In a prospective interventional case series, 52 eyelids (32 patients) were included (April 2009-December 2010. Excluded were patients with previous eyelid surgeries, lagophthalmos, and o12 months of follow-up. Using a microscope, after recessing anterior lamella 3-4 mm above the eyelid margin, it was fixed with 4-5 interrupted 6-0 vicryl sutures. Excess anterior lamella was then excised (blepharoplasty), supratarsal fixation sutures (6-0 vicryl) were put and the skin was closed with 6-0 nylon sutures. Success and failure defined based upon eyelash-globe touch on the last followup visit (at least 12 months), respectively. Results There were 21 females (65.6%) and 11 males (34.4%) with a mean age of 69.7 years (SD = 6.9) and mean follow-up of 21.06 months (SD = 8.26). Success was observed in 39 (75%) and failure in 13 (25%). Mean time of failure was 4.5 months (SD = 3). Although re-treatment with radio-frequency electrolysis (eight eyelids) and re-anterior lamellar recession (two eyelids) resulted in success in 12 eyelids with failure, two patients (three eyelids) declined further procedure. Except for thickened eyelid margin, no complications were observed. Conclusion Anterior lamellar recession, blepharoplasty, and supratarsal fixation procedure is an effective and safe technique for the treatment of the upper eyelid cicatricial entropion without lagophthalmos.

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Recurrence of Trachomatous Trichiasis 17 Years After Bilamellar Tarsal Rotation Procedure

Cited by 21 publications

References 9 publications

Comparison of trichiasis recurrence after primary bilamellar tarsal rotation or anterior lamellar repositioning surgery performed for trachoma

Comparison of trichiasis recurrence after primary bilamellar tarsal rotation or anterior lamellar repositioning surgery performed for trachoma

Patients’ Perceptions of Trichiasis Surgery: Results from the Partnership for Rapid Elimination of Trachoma (PRET) Surgery Clinical Trial

Anterior lamellar recession, blepharoplasty, and supratarsal fixation for cicatricial upper eyelid entropion without lagophthalmos

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