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Correction of severe upper eyelid entropion
1Department of Ophthalmology, Armed Forces Hospital, Riyadh, Kingdom of Saudi Arabia.
International Ophthalmology
|January 1, 1988
Summary
This study refines a lesser-known lid splitting procedure using a bare-tarsus technique without grafting. Radial incisions effectively abolish blepharospasm and prevent lid margin recurrence.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Lid splitting procedures for eyelid reconstruction are historically documented but not widely adopted.
- Existing techniques may face challenges with blepharospasm and anterior lamella retraction.
Purpose of the Study:
- To present a refined, effective lid splitting technique.
- To address limitations of previous methods, focusing on blepharospasm and lid margin stability.
Main Methods:
- A bare-tarsus technique was employed, eliminating the need for grafts.
- Radial incisions were added at the nasal and temporal edges of the anterior lamella.
Main Results:
- The technique successfully abolished blepharospasm by weakening the orbicularis muscle's tarsal component.
- Recurrence of the anterior lamella to the lid margin was significantly reduced.
Conclusions:
- The described lid splitting method, incorporating radial incisions and a bare-tarsus approach, offers improved outcomes.
- This technique provides a viable alternative for eyelid reconstruction, managing blepharospasm and ensuring lid margin stability.