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Simplified technique for lateral canthal tendon canthopexy.

Zain Qureshi1, Alec Bernard2, Ana Beatriz D Grisolia2

  • 1SUNY Downstate Medical School, Brooklyn, NY; Department of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, MI, USA.

Indian Journal of Ophthalmology
|August 26, 2022
PubMed
Summary

A simplified lateral canthal suspension technique effectively treats eyelid malpositions by tightening the lateral canthal tendon. This method shows favorable outcomes for mild-to-moderate eyelid laxities with minimal complications.

Keywords:
Canthopexyectropionentropioneyelid malpositionlateral cantonal tendonsurgical technique

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Area of Science:

  • Ophthalmology
  • Plastic Surgery

Background:

  • Eyelid malpositions necessitate various surgical interventions.
  • Lateral canthal suspension is a key technique in managing these conditions.

Purpose of the Study:

  • To describe and evaluate a simplified technique for lateral canthal suspension.
  • To compare its outcomes with existing methods for eyelid malposition management.

Main Methods:

  • Retrospective chart review of 28 eyelids in 22 patients undergoing simplified lateral canthal suspension.
  • Preoperative and postoperative evaluation of palpebral fissure and margin-reflex distance 2 (MRD2) using specialized software.
  • Literature review of existing surgical management options.

Main Results:

  • All presenting symptoms resolved by three months post-surgery.
  • A statistically significant decrease in palpebral fissure (0.73 mm) and MRD2 (1.02 mm) was observed.
  • A low recurrence rate (4%) and minor complications (asymmetric position, persistent edema) were noted.

Conclusions:

  • The simplified lateral canthal suspension is an effective and straightforward technique for correcting eyelid malpositions.
  • It offers favorable operative characteristics for mild-to-moderate eyelid laxities compared to other methods.