Modified tarsotomy for the treatment of severe cicatricial entropion.
PurposeTo analyze the efficacy of modified tarsotomy for the management of severe cicatricial entropion.MethodsTwenty-seven eyelids of 18 patients who underwent modified tarsotomy between March 2011 and July 2013 were retrospectively assessed. The data collected included patient demographics, etiology of cicatricial entropion, and surgical history. Outcome measures included surgical success rate, preoperative and postoperative eyelid position, and surgery-related complications.ResultsMean follow-up time was 13.2 months (range, 6-25.4 months), and the success rate was 81.8% (22 of 27 eyelids). Complications included eyelid margin notching (n=1) and blepharoptosis secondary to avascular necrosis of the distal marginal fragment (n=1), both were corrected by minor surgical intervention.ConclusionsThe study findings suggest modified tarsotomy is effective for the correction of severe cicatricial entropion.
Department of Ophthalmology, Gachon University Gil Hospital, Incheon, Korea.|Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
M
M
Chi
Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.|Department of Ophthalmology, Permanente Medical Group, Hayward, CA, USA.
H J
HJ
Kim
Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
R
R
Vagefi
Department of Ophthalmology, University of California San Francisco, San Francisco, CA, USA.
R C
RC
Kersten
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D017439:Cicatrix, Hypertrophic / Q000175:diagnosis / Q000601:surgery*; D004774:Entropion / Q000175:diagnosis / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D011379:Prognosis; D012189:Retrospective Studies; D013536:Suture Techniques