ANTERIOR LAMELLAR RECESSION VERSUS TARSAL FRACTURE FOR MANAGEMENT OF RECURRENT CICATRICIAL UPPER LID ENTROPION: A RANDOMIZED COMPARATIVE STUDY

Document Type : Original articles: include clinical trials, interventional research, Basic researches and clinically relevant laboratory investigations

Author

Ophthalmology dept., Faculty of Medicine, Sohag Univ., Sohag, Egypt

Abstract

Purpose: to evaluate the efficacy of anterior lamellar recession procedure in the management
of recurrent upper eyelid entropion.
Design: randomized prospective comparative study. Methods:
all cases will be operated by anterior lamellar recession or tarsal fracture technique. Main outcome
procedure:
anatomical success is defined as the lid margin is stored to its normal position and
no skin touch the ocular surface.
Results: 20 upper eyelids of 20 patients with recurrent upper
eyelid entropion are randomly divided into two groups, and will have either anterior lamellar
recession surgery (group A) or tarsal fracture and marginal rotation surgery (group B). In group < br />A, anatomical success was achieved in 70 % of cases and 3 cases (30%) had recurrence.
Conclusion: this study shows that recurrent upper eyelid entropion can be managed efficiently
with anterior lamellar recession technique.


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