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History: Both etropion and entropion are eyelid malpositions associated with various uncomfortable signs. The lateral tarsal strip is one of several surgical techniques that can solve these disorders. The study included 43 eyes of 33 patients, with an average age of 79 years. The procedure revealed an ectropion and 20 eyes had an entropion, and 35 of 43 of 43 were cases of involutional origination. Patients who underwent other surgical procedures were not included in the analysis. In the entropion surgery group, there were no intraoperative or postoperative complications. In 95 percent of cases, surgical treatment was fruitful for patients with ectropion. After surgery that was only for one patient, the ectropion persisted. Conclusion: The lateral tarsal strip technique is a safe, reliable, and highly effective surgical device. In more than 80% of cases, eyelid malposition correction was successful.
Source link: https://doi.org/10.31348/2021/10
We have three instances of acquired ectropion uveae that occurred after blunt injury to the eye. Methods A retrospective review of patients with ectropion uveae and eye injury at University Eye Hospital over a 10-year period was conducted. Three eyes of three male patients with ocular injury and ectropion uveae, ages 71, 68, and 5 years were reviewed. The time between the eye injury and the diagnosis of ectropion uveae varies from 10 to 36 months. Secondary glaucoma was demonstrated clinically in the eyes of all three eyes, with moderately to severe intraocular pressures. In 1 instance, surgical intervention was required in two cases to prevent secondary glaucoma, but conservative therapy was sufficient. Acquired ectropion uveae following eye trauma can lead to a significant rise in IOP. Secondary glaucoma was observed in our series, and 2 of 3 patients underwent surgical intervention for IOP control.
Source link: https://doi.org/10.5301/ejo.5000893
Vertical eyelid laxity, medial canthal tendon laxity, vertical skin tightness, neuromuscular dysfunction, and lower eyelid retractor disinsertion are all typical for ectropic eyelids. Cornel exposure and scarring, conjunctivitis, visual impairment, epiphora, and reduced vision are among the ocular disorders associated with ectropic eyelids. Horizontal eyelid laxity is usually a result of lateral or medial canthal tendon stretching. By gently pulling the eyelid nasally, the lateral canthal tendon status can be determined. Prior to any surgical intervention, the severity of canthal tendon laxity should be determined. Tendon Laxity and the Lateral Tarsal Strip Procedure are among the various Canthal Tendon Laxity and the Lateral Tarsal Strip Procedure. We prefer Anderson's lateral tarsal strip, although a variety of techniques have been suggested for treating lateral canthal tendon laxity. Stevens scissors are used to create a lateral canthotomy and understanding of the lateral orbital rim after ensuring safe anesthesia.
Source link: https://doi.org/10.1093/oso/9780195340211.003.0013
Objective Objectives: The aim of this study was to investigate the long-term effects of glaucoma treatment in patients with congenital ectropion uveae for over a three-decades at a single large referral center. The results of glaucoma surgery were a total of 26 eyes of 21 patients with a median age of 7 years at the time. Primary CTT was performed in 17 eyes, trabeculectomy in 5 eyes with MMC in 2 eyes, and 3 eyes underwent TSCPC. Mean IOP decreased from 38. 6 mmHg on a mean of 1. 3 u00b1 0. 8 mmHg to a mean IOP of 15. 2 mmHg on a median of 0. 2 mmHg postoperatively at the final follow-up, with a mean of 0. 6 mmHg on a mean of 0. 8 mmHg on a mean of 0. 8 mmHg. Trabeculectomy with or without adjuvant MMC is a viable second line of care in late-onset glaucoma with CEU for IOP control.
Source link: https://doi.org/10.1177/11206721221111595
In patients with monolateral facial palsy, a simple surgical approach for the treatment of ectropion and scleral disease was used to reduce eye disease. Methods: According to the House-Brackmann grading scale, fifteen patients affected by facial palsy, degrees IV-VI, were evaluated after our surgical procedure, and the results were compared to several other procedures. With only medial or lateral muscle flap sutures, it was possible to restore the ectropion and the lateral scleral display.
Source link: https://doi.org/10.1159/000369623
Congenital ectropion uveae is a rare, nonprogressive anomaly that is frequently associated with Rieger's anomaly, Prader-Willi syndrome, and neurofibromatosis type 1. Congenital or juvenile glaucoma is the most common complication of ectropion uveae.
Source link: https://doi.org/10.1159/000081638
Eyelid deformations due to cracks of orbital walls can result in eyelid ectropion and lagophthalmos development in Cicatricial eyelids. Secondary lesions of the cornea and a decrease of visual acuity in secondary lesion slit results, which necessitate reconstructive plastic surgery with skin flap transplantation. This essay discusses the case of cicatricial lower eyelid ectropion absence following osteosynthesis with a metal implant for a fracture of zygomatic orbital complex and lower orbital wall using a complete skin flap from preauricular face zone. In reconstructive eyelid reconstruction, a full-thickness skin autograft from the preauricular face zone is a safe option.
Source link: https://doi.org/10.25276/2686-6986-2022-1-127-131
Introduction Bilateral congenital ectropion uveae is a rare condition, usually followed by refractory glaucoma. In a case of bilateral CEU with advanced glaucoma, the study seeks to compare the long-term effects and complications between the two eyes after various surgical approaches. The patient was a 20-year-old male with bilateral CEU and glaucoma, as shown by the case report. The intraocular pressure was 48 mm Hg in the right eye and 52 mm Hg in the left eye. Therefore, CO 2 laser-assisted sclerectomy surgery was performed in OS, and the IOP was significantly reduced. After MAT, Shallow anterior chamber and complicated cataract formation in OS emerged in OS after CLASS, but there was no obvious late complication in OD after MAT. Both CLASS and MAT can be considered safe surgical options for the care of such patients.
Source link: https://doi.org/10.3389/fmed.2022.902716
The aim of this paper is to demonstrate a surgical approach for treating patients with recurrent ectropion and extreme eyelid laxity. Methods Anophthalmic socket study was done in 6 patients with recurrent ectropion and 1 patient with severe lower eyelid laxity secondary to an anophthalmic socket. Conclusion Despite these mixed medical conditions or low eyelid laxity, posterior tarsal stripping by osteotomies is an effective surgical treatment option or even a primary surgical procedure in some difficult cases.
Source link: https://doi.org/10.1177/11206721211073036
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