J Korean Ophthalmol Soc.  2009 Dec;50(12):1755-1760. 10.3341/jkos.2009.50.12.1755.

The Correction of Cicatricial Entropion of Upper Eyelid by Tarsal Fracture and Anterior Lamellar Reposition

Affiliations
  • 1Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea. sangduck@wonkwang.ac.kr

Abstract

PURPOSE
To evaluate the surgical results of tarsal fracture and anterior lamellar reposition in patients with cicatricial entropion. METHODS: The authors retrospectively analyzed the medical records of 9 patients (11 eyes) who had undergone tarsal fracture and anterior lamellar reposition for cicatricial entropion from October 2003 to September 2008.
RESULTS
6 eyes of 5 patients were male and 5 eyes of 4 patients were female. The patients' mean age was 63.4 (43.5~75.9) years. The mean follow-up period was 29.9 (7~67.6) months. After surgery, the ocular irritation disappeared in all patients. There were no recurrences or complications. CONCLUSIONS: Tarsal fracture and anterior lamellar reposition in patients with cicatricial entropion is a simple and cosmetically effective procedure without complications.

Keyword

Anterior lamellar reposition; Cicatricial entropion; Tarsal fracture

MeSH Terms

Entropion
Eye
Eyelids
Female
Follow-Up Studies
Humans
Male
Medical Records
Recurrence
Retrospective Studies

Figure

  • Figure 1. Schematic figures of procedures of tarsal fracture and anterior lamellar reposition.

  • Figure 2. (A) Preoperative photograph of cicatricial entropion in the right upper eyelid. The vertical palpebral fissure is narrowed. (B) Preoperative photograph of blepharitis and distichiasis in the upper eyelid.

  • Figure 3. (A) Postoperative photograph showing the correction of cicatricial entropion in the right eye. The vertical palpebral fissure is widened. (B) Postoperative photograph showing epithelialization of the fractured site.

  • Figure 4. (A) Immediate postoperative photograph showing erythematic swelling of the upper eyelid margin.(B) After postoperative 5 months, an erythematic swelling of the upper eyelid margin disappeared.


Reference

References

1. Vallabhanath P, Carter SR. Ectropion and entropion. Curr Opin Ophthalmol. 2000; 11:345–51.
Article
2. Dutton JJ, Tawfik HA, DeBacker CM, Lipham WJ. Anterior tarsal V-wedge resection for cicatricial entropion. Ophthal Plast Reconstr Surg. 2000; 16:126–30.
Article
3. Ti SE, Tow SL, Chee SP. Amniotic membrane transplantation in entropion surgery. Ophthalmology. 2001; 108:1209–17.
Article
4. Goldberg RA, Joshi AR, McCann JD, Shorr N. Management of severe cicatricial entropion using shared mucosal grafts. Arch Ophthalmol. 1999; 117:1255–9.
Article
5. Swamy BN, Benger R, Taylor S. Cicatricial entropion repair with hard palate mucous membrane graft: surgical technique and outcomes. Clin Experiment Ophthalmol. 2008; 36:348–52.
Article
6. Wies FA. Surgical treatment of entropion. J Int Coll Surg. 1954; 21:758–60.
7. Seiff SR, Carter SR, Tovilla Y, et al. Tarsal margin rotation with posterior lamella superadvancement for the management of cicatricial entropion of the upper eyelid. Am J Ophthalmol. 1999; 127:67–71.
Article
8. Kersten RC, Kleiner FP, Kulwin DR. Tarsotomy for the treatment of cicatricial entropion with trichiasis. Arch Ophthalmol. 1992; 110:714–7.
Article
9. Hadija KG. New method for the correction of entropion with trichiasis by tarsotomy. Br J Ophthalmol. 1960; 44:436–9.
Article
10. Sodhi PK, Yadava U, Mehta DK. Efficacy of lamellar division for correcting cicatricial lid entropion and its associated features unrec-tified by the tarsal fracture technique. Orbit. 2002; 21:9–17.
Article
11. Lee SR, Kim YD, Khwarg SI, Kim SJ. Ophthalmic plastic and reconstructive surgery. 1st ed.Seoul: Naewae-Haksool;2004. p. 75–6.
12. Kang SH, Kim YD. Management of severe cicatricial entropion using shared nasal turbinate mucosal graft. J Korean Ophthalmol Soc. 2002; 43:2335–40.
13. Dutton JJ, Tawfik HA, Chee SP. Amniotic membrane transplantation in entropion surgery. Ophthalmology. 2001; 108:1209–17.
Article
14. Kim SA, Rho JH. Tarsal margin rotation with blepharoplasty to correct cicatricial entropion of the upper eyelid. J Korean Ophthalmol Soc. 2005; 46:196–200.
15. Wojno TH. Lid splitting with lash resection for cicatricial entropion and trichiasis. Ophthalmic Plast Reconst Surg. 1992; 8:287–9.
Article
16. Tenzel RR. Repair of entropion of upper lid. Arch Ophthalmol. 1967; 77:675.
Article
17. Kemp EG, Collin JR. Surgical management of upper lid entropion. Br J Ophthalmol. 1986; 70:575–9.
Article
18. Fox S. Cicatricial entropion of the upper eyelid. Am J Ophthalmol. 1954; 57:379–82.
Article
19. Kuckelkorn R, Schrage N, Becker J, Reim M. Tarsoconjunctival advancement: A modified surgical technique to correct cicatricial entropion and metaplasia of the marginal tarsus. Ophthalmic Surg Lasers. 1997; 28:156–61.
Article
20. Reacher MH, Huber MJ, Canagaratnam R, Alghassamy A. A trial of surgery for trichiasis of the upper lid from trachoma. Br J Ophthalmol. 1990; 74:109–13.
Article
21. Welsh NH. The treatment of cicatricial entropion. South Afr Med J. 1969; 15:172–5.
22. Gu J, Wang Z, Sun M, et al. Posterior lamellar eyelid reconstruction with acellular dermis allograft in severe cicatricial entropion. Ann Plast Surg. 2009; 62:268–74.
Article
23. Baylis HI, Rosen N, Neuhaus RW. Obtaining auricular cartilage for reconstructive surgery. Am J Ophthalmol. 1982; 93:709–12.
Article
24. Ewing LE. An operation for atrophic cicatricial entropion of the lower eyelid. Am J Ophthalmol. 1903; 20:39–40.
25. Nasr AM. Eyelid complication in trachoma. I: Cicatricial entropion. Ophthalmic Surg. 1989; 20:800–7.
26. Ballen PH. A simple procedure for the relief of trichiasis and entropion of the upper lid. Arch Ophthalmol. 1964; 72:239–40.
Article
27. Halasa AH, Jarudi N. Tarsotomy for the correction of cicatricial entropion. Ann Ophthalmol. 1974; 6:837–40.
28. Kwok SK, Tse DT. Central corneal dellen: a complication of upper eyelid tarsotomy. Ophthal Plast Reconstr Surg. 2000; 16:237–40.
29. Basar E, Ozdemir H, Ozkan S, et al. Treatment of trichiasis with argon laser. Eur J Ophthalmol. 2000; 10:273–5.
30. Kezirian GM. Treatment of localized trichiasis with radiosurgery. Ophthal Plast Reconstr Surg. 1993; 9:260–6.
Article
31. Khandekar R, Al-Hadrami K, Sarvanan N, et al. Recurrence of trachomatous trichiasis 17 years after bilamellar tarsal rotation procedure. Am J Ophthalmol. 2006; 141:1087–91.
Article
32. Bujger Z, Cerovski B, Kovacevic S, et al. A contribution to the surgery of the trachomatous entropion and trichiasis. Ophthalmologica. 2004; 218:214–8.
Article
33. Sodhi PK, Yadava U, Pandey RM, Mehta DK. Modified grey line split with anterior lamellar repositioning for treatment of cicatricial lid entropion. Ophthalmic Surg Lasers. 2002; 33:169–74.
Article
34. Sullivan JH, Beard C, Bullock JD. Cryosurgery for treatment of trichiasis. Am J Ophthalmol. 1976; 82:117–21.
Article
35. Elder MJ, Collin R. Anterior lamellar repositioning and grey line split for upper lid entropion in ocular cicatricial pemphigoid. Eye. 1996; 10:439–42.
Article
36. Steinkogler FJ. Treatment of upper eyelid entropion. Lid split surgery and fibrin sealing of free skin transplants. Ophthal Plast Reconstr Surg. 1986; 2:183–7.
37. Hintschich CR. “Anterior lamellar repositioning” for correction of entropion of the upper eyelid. Ophthalmologe. 1997; 94:436–40.
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