دورية أكاديمية

Upper eyelid blepharoplasty, tarsal margin rotation, and posterior lamellar super-advancement for correction of severe upper eyelid cicatricial entropion and dermatochalasis.

التفاصيل البيبلوغرافية
العنوان: Upper eyelid blepharoplasty, tarsal margin rotation, and posterior lamellar super-advancement for correction of severe upper eyelid cicatricial entropion and dermatochalasis.
المؤلفون: Chan, Karen KW, Chi-Lai Li, Chan, Regine YC, Yip, Alvin L. Young M. Wilson WK, Chong, Kelvin KL
المصدر: Hong Kong Journal of Ophthalmology; 2020, Vol. 24 Issue 2, p38-43, 6p
مصطلحات موضوعية: BLEPHAROPLASTY, GRANULOMA, EYELID surgery, STEVENS-Johnson Syndrome, MITOMYCIN C
مستخلص: Objective: To report the long-term efficacy and safety of simultaneous correction of upper eyelid cicatricial entropion and dermatochalasis. Method: A retrospective non-comparative chart review of consecutive patients with severe upper eyelid cicatricial entropion and dermatochalasis who underwent surgical correction from July 2012 to July 2014 at a tertiary referral center by a single surgeon. Results: Twelve eyes of 10 patients aged 80±7 (range, 65-92) years old received upper eyelid blepharoplasty, tarsal margin rotation, and graded posterior lamellar super-advancement. All eyes resumed normal upper eyelid margin position with no recurrence over a mean follow-up of 48.3±18 (range, 9-70) months. Complications including suture granuloma (n=1), lagophthalmos (n=1), mild lid notching (n=2) and residual peripheral asymptomatic trichiasis or distichiasis (n=3) were managed conservatively successfully. No patients developed exposure keratopathy after surgery, and the number of lubricants required was statistically significantly reduced (p=0.005). Conclusion: Our pilot study showed that combining upper lid blepharoplasty, tarsal margin rotation and graded posterior lamellar super-advancement is safe and effective in achieving long-term correction of severe upper eyelid cicatricial entropion and dermatochalasis. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:10278230
DOI:10.12809/hkjo-v24n2-288