Surgical Treatment of Temporal Entropion of the Upper Eyelid

Amdur, Joseph

doi:10.1001/archopht.1963.00960050389022

Cited by 4 publications

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“…The original lid splitting procedures have been used and modified by different authors [1,2,4,5,12]. Today, however, the initially described technique still seems to be the most important procedure for severe cases of upper lid entropion.…”

Section: Introductionmentioning

confidence: 99%

Correction of severe upper eyelid entropion

Teichmann

1988

Int Ophthalmol

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Lid splitting procedures have been described a long time ago. Despite repeated descriptions by various authors, the method is not widely known. We use a bare-tarsus technique, omitting any grafting. In addition, we found radial incisions at the nasal and temporal edges of the anterior lamella advantageous, as the often superimposed blepharospasm is abolished by the weakening of the tarsal part of the orbicularis muscle. Also, there is then less tendency for the recessed anterior lamella to creep back down to the lid margin.

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Section: Introductionmentioning

confidence: 99%

Correction of severe upper eyelid entropion

Teichmann

1988

Int Ophthalmol

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Management of cicatricial entropion of the upper lid using acellular human dermal allograft

Chen

Wang

2008

Journal of Plastic, Reconstructive & Aesthetic Surgery

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Posterior Lamellar Eyelid Reconstruction With Acellular Dermis Allograft in Severe Cicatricial Entropion

Wang

Sun

et al. 2009

Annals of Plastic Surgery

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Severe cicatricial entropion is a serious condition, which may threaten the vision of the affected patient. To date, surgical repair of this condition has been difficult and associated with a high degree of failure. From February 2005 to February 2006, a prospective cohort study was conducted in which 14 patients with severe cicatricial entropion were recruited. Lengthening of the posterior lamella of the eyelid with acellular dermis allograft (ReDerm, Jieya company, Beijing, PR China) was performed followed by use of therapeutic contact lenses at the end of surgery. The patients were followed up regularly and were assessed for structural integrity, upper marginal reflex distance (U-MRD), vertical palpebral aperture, and lagophthalmos. The mean follow-up time was 18 months. Acellular dermis was effective in reducing the palpebral aperture (P = 0.002), lagophthalmos (P = 0.016), and lengthening the upper eyelid height by reducing U-MRD (P = 0.008). However, there were 2 cases of recurrence because of the shrinkage of graft (70%) and 3 cases of conjunctival granulomas postoperatively. Final outcome was good in 14 of 16 eyelids. We have found that acellular dermis grafting with insertion of therapeutic contact lenses is an effective and simple measure for rectifying severe cicatricial entropion both structurally and functionally.

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Surgical Treatment of Temporal Entropion of the Upper Eyelid

Cited by 4 publications

References 0 publications

Correction of severe upper eyelid entropion

Correction of severe upper eyelid entropion

Management of cicatricial entropion of the upper lid using acellular human dermal allograft

Posterior Lamellar Eyelid Reconstruction With Acellular Dermis Allograft in Severe Cicatricial Entropion

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