Document Detail

Long-term results of tarsal margin rotation and extended posterior lamellae advancement for end stage trachoma.
MedLine Citation:
PMID:  21862946     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To report the long-term results of tarsal margin rotation with extended posterior lamellae advancement in the management of cicatricial entropion, trichiasis, and accompanying misdirected metaplastic lashes of the upper eyelid due to trachoma.
METHODS: Tarsal margin rotation and extended advancement of posterior lamellae were performed in 27 eyelids of 15 consecutive patients for correction of cicatricial entropion, metaplastic lashes, and trichiasis.
RESULTS: In all eyes, functional success, which was defined as normal mucocutaneous junction position and repositioning the lashes away from the ocular surface, were achieved. No recurrence was detected over a mean follow-up of 40.04 ± 16.61 (range, 18-72) months. Pyogenic granuloma, which was treated with complete excision, developed at the cut end of the tarsal conjunctiva in 3 cases. Cosmetic results were satisfactory in terms of both patients and examiner.
CONCLUSION: Tarsal margin rotation with extended posterior lamellae advancement appears to be effective with no recurrence in managing cicatricial entropion and accompanying multiple eyelash problems of the upper eyelid due to trachoma.
Ayse Yagci; Melis Palamar
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Ophthalmic plastic and reconstructive surgery     Volume:  28     ISSN:  1537-2677     ISO Abbreviation:  Ophthal Plast Reconstr Surg     Publication Date:    2012 Jan-Feb
Date Detail:
Created Date:  2012-01-20     Completed Date:  2012-03-25     Revised Date:  2013-05-08    
Medline Journal Info:
Nlm Unique ID:  8508431     Medline TA:  Ophthal Plast Reconstr Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  11-3     Citation Subset:  IM    
Ege University, Faculty of Medicine, Department of Ophthalmology, Izmir, Turkey.
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MeSH Terms
Entropion / etiology,  surgery
Eyelid Diseases / etiology,  surgery*
Middle Aged
Patient Satisfaction
Risk Factors
Trachoma / complications,  surgery*

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