Reply re: 'Change in Lower Eyelid Contour Following Ectropion Repair With Lateral Tarsal Strip'
| Autor: | Ronald Mancini |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Blepharoplasty
medicine.medical_specialty medicine.medical_treatment Ectropion Fourth degree Contour following medicine Health insurance Humans Reduction (orthopedic surgery) business.industry Significant difference Eyelids General Medicine medicine.disease eye diseases Single surgeon Surgery body regions Ophthalmology medicine.anatomical_structure sense organs Eyelid business |
| Zdroj: | Ophthalmic plastic and reconstructive surgery. 37(3) |
| ISSN: | 1537-2677 |
| Popis: | PURPOSE To evaluate the change in lateral canthal angle (LCA), inferior ocular surface exposed (IOSE), lower eyelid curvature, and margin-to-reflex distance 2 in those undergoing lower eyelid ectropion repair using a lateral tarsal strip technique. METHODS This is an Institutional Review Board-approved retrospective analysis of patients undergoing lower eyelid ectropion repair. This study included all patients from 2012 to 2018 operated on by a single surgeon at the University of Texas Southwestern Medical Center. For each patient, LCA, IOSE, and eyelid curvature were measured on preoperative and postoperative photographs using NIH Image J photographic analysis. These measurements were compared using paired 1-tail t-tests for LCA and IOSE and paired 2-tail t-tests for eyelid curvature. This study was Health Insurance Portability and Accountability Act-compliant with protection of individually identifiable information. RESULTS Fifty-one patients with lower eyelid ectropion underwent lower eyelid ectropion repair using a lateral tarsal strip technique. Forty-three of the patients underwent a bilateral lower eyelid ectropion repair. There was no statistically significant difference in the LCA. There was a reduction in IOSE among both cohorts. The fourth degree polynomial trendlines generated to assess eyelid curvature demonstrated statistical significance, suggesting a flattening of eyelid curvature. margin-to-reflex distance 2 also had a statistically significant decrease postoperatively. CONCLUSIONS Lower eyelid ectropion repair using a lateral tarsal strip approach causes a reduction in IOSE, a more gradual lower eyelid curvature, and a decrease in margin-to-reflex distance 2 without causing a statistically significant change in LCA. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|