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Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion

PURPOSE: To examine changes in the position of the lower eyelid punctum and tear meniscus height (TMH) after correction of horizontal laxity of the lower eyelid in involutional lower eyelid entropion. METHODS: This prospective, observational study included 42 sides of 36 patients with involutional e...

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Autores principales: Yokoyama, Tatsuro, Vaidya, Aric, Kono, Shinjiro, Kakizaki, Hirohiko, Takahashi, Yasuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873414/
https://www.ncbi.nlm.nih.gov/pubmed/36703702
http://dx.doi.org/10.1155/2023/4113151
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author Yokoyama, Tatsuro
Vaidya, Aric
Kono, Shinjiro
Kakizaki, Hirohiko
Takahashi, Yasuhiro
author_facet Yokoyama, Tatsuro
Vaidya, Aric
Kono, Shinjiro
Kakizaki, Hirohiko
Takahashi, Yasuhiro
author_sort Yokoyama, Tatsuro
collection PubMed
description PURPOSE: To examine changes in the position of the lower eyelid punctum and tear meniscus height (TMH) after correction of horizontal laxity of the lower eyelid in involutional lower eyelid entropion. METHODS: This prospective, observational study included 42 sides of 36 patients with involutional entropion who underwent a lateral tarsal strip procedure or transcanthal canthopexy (+ lower eyelid retractor advancement). The horizontal distance from the medial margin of the lower lacrimal punctum to the medial canthus was measured using ImageJ software. TMH was measured using anterior segment optical coherence tomography. All measurements were performed preoperatively, at postoperative 3-month and at postoperative 6-month. RESULTS: The lower lacrimal punctum significantly shifted laterally at 3-month follow-up and slightly returned toward its original position at 6-month follow-up (Friedman's test, P  <  0.001). Although the differences did not reach statistical significance, TMH in the lower eyelid increased at 3-month follow-up and then slightly decreased at 6-month follow-up (Friedman's test, P = 0.076). CONCLUSIONS: The results of this study imply that lateral shift of the lower lacrimal punctum prevents effective drainage of tears accumulated in the lacrimal lake, resulting in increased TMH after correction of horizontal laxity of the lower eyelid in involutional entropion.
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spelling pubmed-98734142023-01-25 Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion Yokoyama, Tatsuro Vaidya, Aric Kono, Shinjiro Kakizaki, Hirohiko Takahashi, Yasuhiro J Ophthalmol Research Article PURPOSE: To examine changes in the position of the lower eyelid punctum and tear meniscus height (TMH) after correction of horizontal laxity of the lower eyelid in involutional lower eyelid entropion. METHODS: This prospective, observational study included 42 sides of 36 patients with involutional entropion who underwent a lateral tarsal strip procedure or transcanthal canthopexy (+ lower eyelid retractor advancement). The horizontal distance from the medial margin of the lower lacrimal punctum to the medial canthus was measured using ImageJ software. TMH was measured using anterior segment optical coherence tomography. All measurements were performed preoperatively, at postoperative 3-month and at postoperative 6-month. RESULTS: The lower lacrimal punctum significantly shifted laterally at 3-month follow-up and slightly returned toward its original position at 6-month follow-up (Friedman's test, P  <  0.001). Although the differences did not reach statistical significance, TMH in the lower eyelid increased at 3-month follow-up and then slightly decreased at 6-month follow-up (Friedman's test, P = 0.076). CONCLUSIONS: The results of this study imply that lateral shift of the lower lacrimal punctum prevents effective drainage of tears accumulated in the lacrimal lake, resulting in increased TMH after correction of horizontal laxity of the lower eyelid in involutional entropion. Hindawi 2023-01-17 /pmc/articles/PMC9873414/ /pubmed/36703702 http://dx.doi.org/10.1155/2023/4113151 Text en Copyright © 2023 Tatsuro Yokoyama et al. https://creativecommons.org/licenses/by/4.0/This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Yokoyama, Tatsuro
Vaidya, Aric
Kono, Shinjiro
Kakizaki, Hirohiko
Takahashi, Yasuhiro
Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title_full Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title_fullStr Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title_full_unstemmed Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title_short Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion
title_sort changes in lacrimal punctum position and tear meniscus height after correction of horizontal laxity in involutional lower eyelid entropion
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9873414/
https://www.ncbi.nlm.nih.gov/pubmed/36703702
http://dx.doi.org/10.1155/2023/4113151
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