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The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes

OBJECTIVES: The aim of the study was to evaluate the effect of changes in the horizontal and vertical palpebral fissure dimensions on surgical success performed due to entropion and ectropion of the lower eyelid. METHODS: The present research was conducted as a retrospective and interventional case...

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Autores principales: Nacaroglu, Senay Asik, Karabulut, Gamze Ozturk, Cabuk, Kubra Serefoglu, Fazil, Korhan, Taskapili, Muhittin
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Kare Publishing 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169142/
https://www.ncbi.nlm.nih.gov/pubmed/35692271
http://dx.doi.org/10.14744/bej.2022.75537
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author Nacaroglu, Senay Asik
Karabulut, Gamze Ozturk
Cabuk, Kubra Serefoglu
Fazil, Korhan
Taskapili, Muhittin
author_facet Nacaroglu, Senay Asik
Karabulut, Gamze Ozturk
Cabuk, Kubra Serefoglu
Fazil, Korhan
Taskapili, Muhittin
author_sort Nacaroglu, Senay Asik
collection PubMed
description OBJECTIVES: The aim of the study was to evaluate the effect of changes in the horizontal and vertical palpebral fissure dimensions on surgical success performed due to entropion and ectropion of the lower eyelid. METHODS: The present research was conducted as a retrospective and interventional case series who had undergone involutional lower eyelid malposition repair with a lateral tarsal strip (LTS) alone, LTS with a medial spindle, and LTS with the advancement of the lower eyelid retractors. The subjects’ medical records, including demographic and clinic characteristics, pre-operative assessment of horizontal eyelid laxity, and surgical outcomes, were reviewed. The distance between the pupillary light reflex and the lower-eyelid margin marginal reflex distance 2 (MRD-2) and the horizontal palpebral aperture (HPA) width were measured using the Image J program in the pre-operative and post-operative 6-month follow-up. The correlation between surgical success, changes in pre-operative and post-operative MRD-2, and HPA width was assessed by the Spearman rank correlation test. RESULTS: A total of 66 eyelids of 48 patients were included in the study. This cohort comprised of 41 males (86.4%) and 7 females (13.6%), 18 of whom underwent bilateral surgery. The pre-operative mean MRD-2 was 7.13 ± 1.98 mm, and the post-operative 6-month mean MRD-2 was 6.21±1.19 mm (p<0.01). The mean post-operative HPA width was statistically significantly higher in comparison with the mean pre-operative HPA width (27.35±2.41, 26.89±2.39, p=0.02, respectively). There was no correlation between success rate and changes in horizontal and vertical palpebral fissure dimensions. CONCLUSION: LTS surgery is a method that turns the shortened HPA width to normal and enables the successful correction of the lower eyelid malpositions.
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spelling pubmed-91691422022-06-09 The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes Nacaroglu, Senay Asik Karabulut, Gamze Ozturk Cabuk, Kubra Serefoglu Fazil, Korhan Taskapili, Muhittin Beyoglu Eye J Original Article OBJECTIVES: The aim of the study was to evaluate the effect of changes in the horizontal and vertical palpebral fissure dimensions on surgical success performed due to entropion and ectropion of the lower eyelid. METHODS: The present research was conducted as a retrospective and interventional case series who had undergone involutional lower eyelid malposition repair with a lateral tarsal strip (LTS) alone, LTS with a medial spindle, and LTS with the advancement of the lower eyelid retractors. The subjects’ medical records, including demographic and clinic characteristics, pre-operative assessment of horizontal eyelid laxity, and surgical outcomes, were reviewed. The distance between the pupillary light reflex and the lower-eyelid margin marginal reflex distance 2 (MRD-2) and the horizontal palpebral aperture (HPA) width were measured using the Image J program in the pre-operative and post-operative 6-month follow-up. The correlation between surgical success, changes in pre-operative and post-operative MRD-2, and HPA width was assessed by the Spearman rank correlation test. RESULTS: A total of 66 eyelids of 48 patients were included in the study. This cohort comprised of 41 males (86.4%) and 7 females (13.6%), 18 of whom underwent bilateral surgery. The pre-operative mean MRD-2 was 7.13 ± 1.98 mm, and the post-operative 6-month mean MRD-2 was 6.21±1.19 mm (p<0.01). The mean post-operative HPA width was statistically significantly higher in comparison with the mean pre-operative HPA width (27.35±2.41, 26.89±2.39, p=0.02, respectively). There was no correlation between success rate and changes in horizontal and vertical palpebral fissure dimensions. CONCLUSION: LTS surgery is a method that turns the shortened HPA width to normal and enables the successful correction of the lower eyelid malpositions. Kare Publishing 2022-05-27 /pmc/articles/PMC9169142/ /pubmed/35692271 http://dx.doi.org/10.14744/bej.2022.75537 Text en Copyright: © 2022 by Beyoglu Eye Training and Research Hospital https://creativecommons.org/licenses/by-nc-sa/4.0/This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License
spellingShingle Original Article
Nacaroglu, Senay Asik
Karabulut, Gamze Ozturk
Cabuk, Kubra Serefoglu
Fazil, Korhan
Taskapili, Muhittin
The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title_full The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title_fullStr The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title_full_unstemmed The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title_short The Effect of Lower Eyelid Malposition Repair on Palpebral Fissure Size Changes
title_sort effect of lower eyelid malposition repair on palpebral fissure size changes
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9169142/
https://www.ncbi.nlm.nih.gov/pubmed/35692271
http://dx.doi.org/10.14744/bej.2022.75537
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