Anterior lamellar excision and laissez-faire healing for aberrant lashes in ocular cicatricial pemphigoid.
OBJECTIVE
To describe the outcomes of a simple technique of anterior lamellar excision (ALE) with laissez-faire healing for management of aberrant lashes in ocular cicatricial pemphigoid (OCP).


METHODS
Prospective interventional case series.


RESULTS
Seven OCP patients underwent grey line split and ALE with laissez-faire healing over a 24-month period in a tertiary referral centre. All patients had undergone previous interventions for the misdirected lashes. Nine procedures were undertaken (three upper and six lower lids). Mean follow-up was for 25.66+/-12.3 months (range: 9-43 months). Residual lashes were noted in three patients. In two cases, the lashes were isolated and managed successfully by a single electrolysis treatment. One patient needed further ALE for residual remnant of trichiatic cilia at the lateral edge of the lid. All patients were satisfied with their post-operative appearance. None of the patients showed exacerbation of disease or needed additional immunosuppression as a consequence of the lid surgery.


CONCLUSIONS
Anterior lamellar excision with spontaneous granulation is a simple and effective procedure for management of aberrant lashes. Risk of disease exacerbation was reduced in OCP with minimal conjunctival manipulation and reduced post-operative lash-globe touch.
Kadyan
A
A
Birmingham and Midland Eye Centre, City Hospital, Birmingham, UK. anjukadyan@btinternet.com
Barry
R
R
Murray
A
A
D000368:Aged; D000369:Aged, 80 and over; D004774:Entropion / Q000601:surgery; D005140:Eyelashes / Q000002:abnormalities*; D005141:Eyelid Diseases / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D010390:Pemphigoid, Benign Mucous Membrane / Q000150:complications*; D011446:Prospective Studies