Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review
Purpose: To evaluate the postoperative effect of the lateral tarsal strip (LTS) procedure in treating lower eyelid involutional ectropion. Methods: A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS procedure. Pre- and postoperative lower e...
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| Format: | Article |
| Language: | English |
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Elsevier
2021-11-01
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| Series: | Advances in Ophthalmology Practice and Research |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2667376221000044 |
| _version_ | 1818744990087512064 |
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| author | Xiaoyi Hou Yongwei Guo Senmao Li Ming Lin Renbing Jia Alexander Rokohl Ludwig M. Heindl |
| author_facet | Xiaoyi Hou Yongwei Guo Senmao Li Ming Lin Renbing Jia Alexander Rokohl Ludwig M. Heindl |
| author_sort | Xiaoyi Hou |
| collection | DOAJ |
| description | Purpose: To evaluate the postoperative effect of the lateral tarsal strip (LTS) procedure in treating lower eyelid involutional ectropion. Methods: A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS procedure. Pre- and postoperative lower eyelid laxity and ocular symptoms as well as perioperative complications were evaluated. Snap 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 surgery. Ocular surface diseases were evaluated by the Ocular Surface Disease Index (OSDI), and symptoms including conjunctivitis, corneal ulcer, dry eye syndrome, and ocular pain were recorded. All patients were evaluated within one week and during the follow-up period of 4.2 ± 8.3 months. Furthermore, we reviewed the studies that also investigated the surgical effect of the LTS procedure in the literature from 1979 to 2019. Results: The success rate was 95%. Only four eyelids required a second surgical intervention. Seventy-three (86%) eyelids had an excellent position after surgery, 9 (11%) only little improvement, and three had no improvement. 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). Fifty-two out of 85 eyes had no discomfort after the surgery. Mild 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 treatment. Conclusions: 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. |
| first_indexed | 2024-12-18T02:53:05Z |
| format | Article |
| id | doaj.art-1e7deff5d58c4c26b8b4082c6995b6f4 |
| institution | Directory Open Access Journal |
| issn | 2667-3762 |
| language | English |
| last_indexed | 2024-12-18T02:53:05Z |
| publishDate | 2021-11-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Advances in Ophthalmology Practice and Research |
| spelling | doaj.art-1e7deff5d58c4c26b8b4082c6995b6f42022-12-21T21:23:24ZengElsevierAdvances in Ophthalmology Practice and Research2667-37622021-11-0111100004Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature reviewXiaoyi Hou0Yongwei Guo1Senmao Li2Ming Lin3Renbing Jia4Alexander Rokohl5Ludwig M. Heindl6Department of Ophthalmology, West China Hospital of Sichuan University, Chengdu, China; Department of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne: Universitat zu Koln, GermanyEye Center, Second Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, ChinaDepartment of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne: Universitat zu Koln, GermanyDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Ophthalmology, Ninth People’s Hospital, Shanghai Jiao Tong University, Shanghai, ChinaDepartment of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne: Universitat zu Koln, Germany; Center for Integrated Oncology (CIO) Aachen-Bonn-Cologne-Duesseldorf, Cologne, GermanyDepartment of Ophthalmology, Faculty of Medicine and University Hospital Cologne, University of Cologne: Universitat zu Koln, Germany; Center for Integrated Oncology (CIO) Aachen-Bonn-Cologne-Duesseldorf, Cologne, Germany; Corresponding author. University Hospital Cologne: Uniklinik Koln, Germany.Purpose: To evaluate the postoperative effect of the lateral tarsal strip (LTS) procedure in treating lower eyelid involutional ectropion. Methods: A retrospective study was performed on 85 eyelids in 67 patients with involutional ectropion who underwent LTS procedure. Pre- and postoperative lower eyelid laxity and ocular symptoms as well as perioperative complications were evaluated. Snap 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 surgery. Ocular surface diseases were evaluated by the Ocular Surface Disease Index (OSDI), and symptoms including conjunctivitis, corneal ulcer, dry eye syndrome, and ocular pain were recorded. All patients were evaluated within one week and during the follow-up period of 4.2 ± 8.3 months. Furthermore, we reviewed the studies that also investigated the surgical effect of the LTS procedure in the literature from 1979 to 2019. Results: The success rate was 95%. Only four eyelids required a second surgical intervention. Seventy-three (86%) eyelids had an excellent position after surgery, 9 (11%) only little improvement, and three had no improvement. 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). Fifty-two out of 85 eyes had no discomfort after the surgery. Mild 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 treatment. Conclusions: 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.http://www.sciencedirect.com/science/article/pii/S2667376221000044Involutional ectropionAging eyelidLateral tarsal stripLower eyelid tensionPost-operative surgical effects |
| spellingShingle | Xiaoyi Hou Yongwei Guo Senmao Li Ming Lin Renbing Jia Alexander Rokohl Ludwig M. Heindl Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review Advances in Ophthalmology Practice and Research Involutional ectropion Aging eyelid Lateral tarsal strip Lower eyelid tension Post-operative surgical effects |
| title | Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review |
| title_full | Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review |
| title_fullStr | Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review |
| title_full_unstemmed | Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review |
| title_short | Lateral tarsal strip procedure for involutional ectropion: A retrospective analysis of 85 cases and a comprehensive literature review |
| title_sort | lateral tarsal strip procedure for involutional ectropion a retrospective analysis of 85 cases and a comprehensive literature review |
| topic | Involutional ectropion Aging eyelid Lateral tarsal strip Lower eyelid tension Post-operative surgical effects |
| url | http://www.sciencedirect.com/science/article/pii/S2667376221000044 |
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