Management of cicatricial entropion of the upper lid using acellular human dermal allograft.
Cicatricial entropion with trichiasis can be a challenging problem to manage. This condition is caused by scarring of the tarsus and the inward rotation or the defect of the lid margin. A variety of biological materials have been used to reconstruct the disfigured lid margin. Tarsal wedge resection and modified grey line splitting with acellular human dermal allograft insertion by 10/0 nylon sutures passing through the eyelid margin allow for correction of the cicatricial entropion while providing a reconstructed lid margin. This technique produces satisfying cosmetic and functional results when used to treat mild to moderate cicatricial entropion with lid margin distortion.
Chen
J
J
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat-sen University, PR China.
Wang
Z
Z
Gu
J
J
D000293:Adolescent; D000328:Adult; D019882:Blepharoplasty / Q000379:methods*; D002057:Burns, Chemical / Q000601:surgery; D002921:Cicatrix / Q000601:surgery*; D004774:Entropion / Q000601:surgery*; D005126:Eye Burns / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation / Q000379:methods; D016038:Skin Transplantation / Q000379:methods*; D016896:Treatment Outcome