Long-Term Results for Entropion Repair by Tarsal Margin Rotation With Posterior Lamella Superadvancement

Area of Science:

• Ophthalmology
• Oculoplastic Surgery

Background:

• Upper eyelid cicatricial entropion can cause significant discomfort and vision impairment.
• Surgical repair is often necessary to restore eyelid function and prevent ocular surface damage.

Purpose of the Study:

• To evaluate the long-term efficacy and stability of tarsal margin rotation and posterior lamellar superadvancement (TMR PLS).
• To assess the recurrence rates of entropion and trichiasis following TMR PLS surgery.

Main Methods:

• Retrospective chart review of patients undergoing TMR PLS from 2000 to 2014.
• Inclusion criteria required a minimum follow-up of 24 months.
• Data collected included patient demographics, entropion recurrence, trichiasis, and surgical complications.

Main Results:

• Nineteen cases (14 patients) met the inclusion criteria.
• No recurrence of entropion was observed over an average follow-up of 78.3 months.
• Eight cases (42%) developed post-operative trichiasis, with 5 requiring treatment.

Conclusions:

• TMR PLS demonstrates excellent long-term stability for treating upper eyelid cicatricial entropion.
• While effective for entropion, the procedure may require management for associated trichiasis.