[Long-term results after the correction of the paralytic ectropion caused with leprosy in 115 eyes].
OBJECTIVE
To analyze the long-term results after the correction of the paralytic ectropion in leprosy.


METHODS
Seventy-four patients with 115 paralytic ectropion eyes after leprosy were treated with the surgical procedures included medial canthoplasty, medial canthal tendon plication, lateral tarsal strip, medial canthal resection, lateral canthoplasty, and lid shortening. The results were evaluated with the follow-ups from 2 to 4 years.


RESULTS
The eye-redness was reduced from 93 to 40 while the epiphora from 107 eyes (24 mild, 36 moderate and 47 severe) to 90 (40 mild, 32 moderate and 18 severe). The mean lid gap in mild eye closure was reduced from 6.8 mm to 5.3 mm and the cornea lesion was reduced from 53 to 36. The results were excellent in 18 eyes (15.7%), good in 45 eyes (39.1%), fair in 41 eyes (35.7%) and poor in 11 eyes (9.6%). However, the mean visual acuity remained same pre- and postoperatively.


CONCLUSIONS
Surgical correction of ectropion is helpful for cornea protection and could improve the signs and symptoms of the eyes such as epiphora and red [abstract truncated].
Qian
Jian-ge
JG
Institute of Dermatology, Peking Union Medical College, Chinese Academy of Medical Sciences, Nanjing 210042, China.
Yan
Liang-bin
LB
Zhang
Guo-cheng
GC
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004483:Ectropion / Q000601:surgery*; D005143:Eyelids / Q000002:abnormalities / Q000601:surgery; D005158:Facial Paralysis / Q000209:etiology / Q000601:surgery*; D005260:Female; D006801:Humans; D007918:Leprosy / Q000150:complications / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000379:methods; D016896:Treatment Outcome