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lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review

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Advances in Ophthalmology Practice and Research 2021年第1期1卷 9-14页

作者： Xiaoyi Hou Yongwei Guo Senmao Li Ming Lin Renbing Jia Alexander Rokohl Ludwig M.Heindl Department of Ophthalmology West China Hospital of Sichuan UniversityChengduChina Department of Ophthalmology Faculty of Medicine and University Hospital CologneUniversity of Cologne:Universitat zu KolnGermany Eye Center Second Affiliated HospitalSchool of MedicineZhejiang UniversityHangzhouChina Department of Ophthalmology Ninth People’s HospitalShanghai Jiao Tong UniversityShanghaiChina Center for Integrated Oncology(CIO)Aachen-Bonn-Cologne-Duesseldorf CologneGermany

Purpose:To evaluate the postoperative effect of the lateral tarsal strip(LTS)procedure in treating lower eyelid involutional ***:A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS ***-and postoperative lower eyelid laxity and ocular symptoms as well as perioperative complications were *** back test was performed to evaluate the elasticity of lateral canthal tendon loosening and,a lower lid distraction test was performed to evaluate the degree of severity before *** surface diseases were evaluated by the Ocular Surface Disease Index(OSDI),and symptoms including conjunctivitis,corneal ulcer,dry eye syndrome,and ocular pain were *** patients were evaluated within one week and during the follow-up period of 4.28.3 ***,we reviewed the studies that also investigated the surgical effect of the LTS procedure in the literature from 1979 to ***:The success rate was 95%.Only four eyelids required a second surgical ***-three(86%)eyelids had an excellent position after surgery,9(11%)only little improvement,and three had no *** significant difference was found in the postoperative effects between different degrees of ectropion(p>0.05).No statistical correlation was found between surgical improvements and the ectropion severity(P>0.05).Fiftytwo out of 85 eyes had no discomfort after the *** complications included epiphora in 13 eyes(three cases caused by lacrimal punctum eversion),ocular pain in 12 eyes,wound hemorrhage in 12 eyes,and edema in 9 eyelids immediately after surgery,in which 91.2%(n=21)disappeared within one week and did not need any further ***:The lateral tarsal strip procedure can provide an aesthetically pleasing result for correcting the mild to moderate lower eyelid ectropion while maintaining decent eyelid function.

关键词： Involutional ectropion Aging eyelid lateral tarsal strip Lower eyelid tension Post-operative surgical effects

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