Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion
AIM: To compare the efficacy of two surgical approaches that microscopical Hotz combined with eyelid margin incision and flap translocation and pure Hotz method in correction of severe upper eyelid cicatricial entropion. METHODS: Totally 84 eyes of 60 patients who underwent corrective surgery for up...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Press of International Journal of Ophthalmology (IJO PRESS)
2021-09-01
|
| Series: | Guoji Yanke Zazhi |
| Subjects: | |
| Online Access: | http://ies.ijo.cn/cn_publish/2021/9/202109032.pdf |
| _version_ | 1818459217478025216 |
|---|---|
| author | Fang Wang Wen-Bo Li Ye Jia Yang-Lin Li |
| author_facet | Fang Wang Wen-Bo Li Ye Jia Yang-Lin Li |
| author_sort | Fang Wang |
| collection | DOAJ |
| description | AIM: To compare the efficacy of two surgical approaches that microscopical Hotz combined with eyelid margin incision and flap translocation and pure Hotz method in correction of severe upper eyelid cicatricial entropion. METHODS: Totally 84 eyes of 60 patients who underwent corrective surgery for upper eyelid trichiasis between July 2017 to July 2019 were retrospectively assessed. The patients in trial group(32 cases, 42 eyes)underwent the surgical procedure of combining Hotz with eyelid margin incision and skin flap transposition under microscope, the other group(28 cases, 42 eyes)were treated with Hotz method. The follow-up time was 12mo. Subjective symptoms, eyelid marginal position, eyelash eversion and patient satisfaction were recorded.RESULTS: The surgery time of one eye in trial group was longer than that in control group(40.8±2.57min vs 28.5±2.64min, P<0.01). The cure rates of 1 and 12mo in trial group were 100% and 95%, respectively. And those in control group were 95% and 76%, respectively. The cure rate of 12mo in trial group was higher than that of the control group(P=0.013). There was no significant difference in patient satisfaction between the two groups at 1mo after surgery(Z=1.1825, P=0.2371). 12mo after surgery, patient satisfaction in the trial group was higher than that in the control group(Z=3.7346, P<0.01).CONCLUSION: While it spents longer time, the procedure of combining Hotz with eyelid margin incision and skin flap transposition under microscope is reasonably successful and satisfactory in rectifying severe upper eyelid cicatricial entropion. It offers more higher cure rate than Hotz alone at long time after operation. |
| first_indexed | 2024-12-14T23:10:51Z |
| format | Article |
| id | doaj.art-d71578e2ba60445197534b37eec23114 |
| institution | Directory Open Access Journal |
| issn | 1672-5123 |
| language | English |
| last_indexed | 2024-12-14T23:10:51Z |
| publishDate | 2021-09-01 |
| publisher | Press of International Journal of Ophthalmology (IJO PRESS) |
| record_format | Article |
| series | Guoji Yanke Zazhi |
| spelling | doaj.art-d71578e2ba60445197534b37eec231142022-12-21T22:44:13ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51232021-09-012191649165210.3980/j.issn.1672-5123.2021.9.32202109032Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropionFang Wang0Wen-Bo Li1Ye Jia2Yang-Lin Li3Wuhan Aier Eye Hospital of Wuhan University, Wuhan 430063, Hubei Province, ChinaWuhan Aier Eye Hospital of Wuhan University, Wuhan 430063, Hubei Province, ChinaWuhan Aier Eye Hospital of Wuhan University, Wuhan 430063, Hubei Province, ChinaWuhan Aier Eye Hospital of Wuhan University, Wuhan 430063, Hubei Province, ChinaAIM: To compare the efficacy of two surgical approaches that microscopical Hotz combined with eyelid margin incision and flap translocation and pure Hotz method in correction of severe upper eyelid cicatricial entropion. METHODS: Totally 84 eyes of 60 patients who underwent corrective surgery for upper eyelid trichiasis between July 2017 to July 2019 were retrospectively assessed. The patients in trial group(32 cases, 42 eyes)underwent the surgical procedure of combining Hotz with eyelid margin incision and skin flap transposition under microscope, the other group(28 cases, 42 eyes)were treated with Hotz method. The follow-up time was 12mo. Subjective symptoms, eyelid marginal position, eyelash eversion and patient satisfaction were recorded.RESULTS: The surgery time of one eye in trial group was longer than that in control group(40.8±2.57min vs 28.5±2.64min, P<0.01). The cure rates of 1 and 12mo in trial group were 100% and 95%, respectively. And those in control group were 95% and 76%, respectively. The cure rate of 12mo in trial group was higher than that of the control group(P=0.013). There was no significant difference in patient satisfaction between the two groups at 1mo after surgery(Z=1.1825, P=0.2371). 12mo after surgery, patient satisfaction in the trial group was higher than that in the control group(Z=3.7346, P<0.01).CONCLUSION: While it spents longer time, the procedure of combining Hotz with eyelid margin incision and skin flap transposition under microscope is reasonably successful and satisfactory in rectifying severe upper eyelid cicatricial entropion. It offers more higher cure rate than Hotz alone at long time after operation.http://ies.ijo.cn/cn_publish/2021/9/202109032.pdfsevere upper eyelid cicatricial entropionhotzeyelid margin incision and skin flap transpositiondistichiasistrachoma |
| spellingShingle | Fang Wang Wen-Bo Li Ye Jia Yang-Lin Li Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion Guoji Yanke Zazhi severe upper eyelid cicatricial entropion hotz eyelid margin incision and skin flap transposition distichiasis trachoma |
| title | Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| title_full | Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| title_fullStr | Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| title_full_unstemmed | Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| title_short | Efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| title_sort | efficacy of two surgical approaches in correction of severe upper eyelid cicatricial entropion |
| topic | severe upper eyelid cicatricial entropion hotz eyelid margin incision and skin flap transposition distichiasis trachoma |
| url | http://ies.ijo.cn/cn_publish/2021/9/202109032.pdf |
| work_keys_str_mv | AT fangwang efficacyoftwosurgicalapproachesincorrectionofsevereuppereyelidcicatricialentropion AT wenboli efficacyoftwosurgicalapproachesincorrectionofsevereuppereyelidcicatricialentropion AT yejia efficacyoftwosurgicalapproachesincorrectionofsevereuppereyelidcicatricialentropion AT yanglinli efficacyoftwosurgicalapproachesincorrectionofsevereuppereyelidcicatricialentropion |