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Surgical Correction for Pediatric Epiblepharon and Trichiasis
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Modified operative technique for involutional lower lid entropion.

Daliborka Miletić1, Biljana Kuzmanović Elabjer, Mladen Busić

  • 1University of Zagreb, "Sveti Duh" University Hospital, Eye Clinic, Zagreb, Croatia.

Collegium Antropologicum
|August 4, 2012
PubMed
Summary

This study presents a modified surgical technique for involutional lower lid entropion, achieving an 89.11% effectiveness rate with minimal complications. The modified procedure offers a promising solution for patients with horizontal lid laxity.

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Area of Science:

  • Ophthalmology
  • Surgical Techniques

Background:

  • Involutional lower lid entropion is a common condition, often associated with horizontal lid laxity.
  • Surgical correction is necessary to prevent ocular surface damage and improve patient comfort.

Purpose of the Study:

  • To evaluate the efficacy and safety of a modified operative technique for involutional lower lid entropion.
  • To assess the long-term outcomes and complication rates of the modified procedure.

Main Methods:

  • A prospective, noncomparative study involving 101 lower eyelids of 88 patients with moderate to severe horizontal lid laxity.
  • The modified technique combines elements of the Quickert and Jones procedures.
  • Follow-up included clinical assessments and long-term telephone interviews.

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Main Results:

  • The modified surgical technique demonstrated an overall effectiveness of 89.11% in correcting involutional lower lid entropion.
  • Early postoperative complications were scarce, primarily localized lid swelling, which resolved spontaneously.
  • Recurrence of entropion occurred in 10.89% of eyelids, with some requiring further intervention.

Conclusions:

  • The modified operative technique for involutional lower lid entropion is effective and safe, with a high success rate.
  • The procedure is well-tolerated, and complications are infrequent, making it a viable surgical option.