Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid
Khaled Hamdi Elbaklish, Safaa M Saleh, Wael Adel Gomaa Ophthalmology Department, Ain Shams University, Cairo, EgyptCorrespondence: Khaled Hamdi ElbaklishOphthalmology Department, Ain Shams University, Abbassia, Cairo 11566 EgyptTel +201000057550Email khaled.hamdy62@yahoo.coffigmAims: Evaluation of f...
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| Format: | Article |
| Language: | English |
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Dove Medical Press
2019-11-01
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| Series: | Clinical Ophthalmology |
| Subjects: | |
| Online Access: | https://www.dovepress.com/lamellar-tarsectomy-procedure-in-major-trichiasis-of-the-upper-lid-peer-reviewed-article-OPTH |
| _version_ | 1818842415660793856 |
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| author | Elbaklish KH Saleh SM Gomaa WA |
| author_facet | Elbaklish KH Saleh SM Gomaa WA |
| author_sort | Elbaklish KH |
| collection | DOAJ |
| description | Khaled Hamdi Elbaklish, Safaa M Saleh, Wael Adel Gomaa Ophthalmology Department, Ain Shams University, Cairo, EgyptCorrespondence: Khaled Hamdi ElbaklishOphthalmology Department, Ain Shams University, Abbassia, Cairo 11566 EgyptTel +201000057550Email khaled.hamdy62@yahoo.coffigmAims: Evaluation of failure rate and outcomes between skin and muscle surgery and lamellar tarsectomy procedure in major trichiasis of the upper lid.Design: Quasi-randomized clinical study.Methods and subjects: One hundred individuals with major trichiasis of the upper lid were enrolled and assigned to either skin and muscle surgery (group A) or a lamellar tarsectomy procedure (group B). Participants were examined at 6 and 12 months. The primary outcome measure (failure rate) was the percentage of participants having five or more eyelashes touching the globe or having surgery performed at any follow-up time in both groups. The secondary outcomes included failure time and changes in both visual acuity and corneal opacity.Results: Risk failure over 6 months was 40% in group A and 10% in group B. Absolute risk reduction was 30% (95% CI=14.08–45.92%). Cumulative risk failure over 12 months was 20% in group A and 0.00% in group B after the second intervention. Absolute risk reduction was 20% (95% CI=8.58–31.42%). The number needed to treat (NNT) was 3.3 patients (95% CI=2.2–7.1). The mean number of rubbing lashes was greater in the skin and muscle group than in the lamellar tarsectomy group for 6 and 12 month examinations (0.002, 0.005). The change in visual acuity between the two groups was not significant. Recurrent trichiasis was noticed earlier, 6 weeks after surgery, in the skin and muscle group participants, and later, 3 months after surgery, in the lamellar tarsectomy group participants.Conclusion: The lamellar tarsectomy procedure is a good choice for management of major trichiasis of the upper lid. The subjective symptoms and lid margin conjunctivalization were improved in lamellar tarsectomy participants. Absence of new corneal opacity or a change in existing corneal opacification was noticed at the 12 months follow-up study.Keywords: tarsectomy, rubbing, lashes, trichiasis, lid
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| first_indexed | 2024-12-19T04:41:37Z |
| format | Article |
| id | doaj.art-a33107f312944473b982bb49f4bb3409 |
| institution | Directory Open Access Journal |
| issn | 1177-5483 |
| language | English |
| last_indexed | 2024-12-19T04:41:37Z |
| publishDate | 2019-11-01 |
| publisher | Dove Medical Press |
| record_format | Article |
| series | Clinical Ophthalmology |
| spelling | doaj.art-a33107f312944473b982bb49f4bb34092022-12-21T20:35:35ZengDove Medical PressClinical Ophthalmology1177-54832019-11-01Volume 132251225949902Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper LidElbaklish KHSaleh SMGomaa WAKhaled Hamdi Elbaklish, Safaa M Saleh, Wael Adel Gomaa Ophthalmology Department, Ain Shams University, Cairo, EgyptCorrespondence: Khaled Hamdi ElbaklishOphthalmology Department, Ain Shams University, Abbassia, Cairo 11566 EgyptTel +201000057550Email khaled.hamdy62@yahoo.coffigmAims: Evaluation of failure rate and outcomes between skin and muscle surgery and lamellar tarsectomy procedure in major trichiasis of the upper lid.Design: Quasi-randomized clinical study.Methods and subjects: One hundred individuals with major trichiasis of the upper lid were enrolled and assigned to either skin and muscle surgery (group A) or a lamellar tarsectomy procedure (group B). Participants were examined at 6 and 12 months. The primary outcome measure (failure rate) was the percentage of participants having five or more eyelashes touching the globe or having surgery performed at any follow-up time in both groups. The secondary outcomes included failure time and changes in both visual acuity and corneal opacity.Results: Risk failure over 6 months was 40% in group A and 10% in group B. Absolute risk reduction was 30% (95% CI=14.08–45.92%). Cumulative risk failure over 12 months was 20% in group A and 0.00% in group B after the second intervention. Absolute risk reduction was 20% (95% CI=8.58–31.42%). The number needed to treat (NNT) was 3.3 patients (95% CI=2.2–7.1). The mean number of rubbing lashes was greater in the skin and muscle group than in the lamellar tarsectomy group for 6 and 12 month examinations (0.002, 0.005). The change in visual acuity between the two groups was not significant. Recurrent trichiasis was noticed earlier, 6 weeks after surgery, in the skin and muscle group participants, and later, 3 months after surgery, in the lamellar tarsectomy group participants.Conclusion: The lamellar tarsectomy procedure is a good choice for management of major trichiasis of the upper lid. The subjective symptoms and lid margin conjunctivalization were improved in lamellar tarsectomy participants. Absence of new corneal opacity or a change in existing corneal opacification was noticed at the 12 months follow-up study.Keywords: tarsectomy, rubbing, lashes, trichiasis, lid https://www.dovepress.com/lamellar-tarsectomy-procedure-in-major-trichiasis-of-the-upper-lid-peer-reviewed-article-OPTHtarsectomy-rubbing- lashes-trichiasis-lid- |
| spellingShingle | Elbaklish KH Saleh SM Gomaa WA Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid Clinical Ophthalmology tarsectomy-rubbing- lashes-trichiasis-lid- |
| title | Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid |
| title_full | Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid |
| title_fullStr | Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid |
| title_full_unstemmed | Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid |
| title_short | Lamellar Tarsectomy Procedure In Major Trichiasis Of The Upper Lid |
| title_sort | lamellar tarsectomy procedure in major trichiasis of the upper lid |
| topic | tarsectomy-rubbing- lashes-trichiasis-lid- |
| url | https://www.dovepress.com/lamellar-tarsectomy-procedure-in-major-trichiasis-of-the-upper-lid-peer-reviewed-article-OPTH |
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