Anterior versus posterior retractor reinsertion with a lateral tarsal strip for involutional entropion repair: A multicentric experience

Página do item simplificado
dc.contributor.authorMateos-Olivares, Milagros
dc.contributor.authorBelani-Raju, Minal
dc.contributor.authorSánchez-Tocino, Hortensia
dc.contributor.authorYe-Zhu, Cristina
dc.contributor.authorSales-Sanz, Marco
dc.contributor.authorBragante, André [UNESP]
dc.contributor.authorFernandes de Sousa Meneghim, Roberta Lilian [UNESP]
dc.contributor.authorSchellini, Silvana A. [UNESP]
dc.contributor.authorGalindo Ferreiro, Alicia
dc.contributor.institutionHospital Clínico Universitario de Valladolid (HCUV)
dc.contributor.institutionHospital Universitario Río Hortega
dc.contributor.institutionInstituto Ramón y Cajal de Investigación Sanitaria (IRYCIS)
dc.contributor.institutionIMO Grupo Miranza
dc.contributor.institutionUniversidade Estadual Paulista (UNESP)
dc.date.accessioned2023-07-29T13:41:00Z
dc.date.available2023-07-29T13:41:00Z
dc.date.issued2023-01-01
dc.description.abstractPurpose: The aim was the comparison of two different approaches to re-insert the inferior eyelid retractors within addition to lateral tarsal strip at lower eyelid involutional entropion (LEIE) surgical correction. Method: This multicentric retrospective case series involved 233 consecutive patients (195 eyelids) who underwent LEIE repair. All the lids had a lateral tarsal strip (LTS) in addition to the reinsertion of retractors onto the tarsal plate via the anterior approach (group 1) or the posterior approach (group 2). The desired normal position of the eyelids at 6-month follow-up was considered ‘surgical successes, while entropion recurrence and overcorrection (ectropion) were considered ‘surgical failures’. Results: One-hundred ninety-one (82%) surgeries were included in group 1 and 42 (18%) in group 2. The success rate was 92.1% (176 lids) in group 1 and 85.7% (36 lids) in group 2 (p = 0.188). The recurrence rate was statistically higher for group 2 (14.3%) than for group 1 (3.7%) (p = 0.016). Overcorrection only described in group 1 (3.1%). Both groups had a similar complication rate (p = 0.268), with trichiasis being the most frequent (14, 6%). Ten eyelids (47.6%) from the 21 overall failures were satisfactorily reoperated, and the remaining ones were treated conservatively. Conclusion: The anterior or posterior approach to reinsert lower eyelid retractors to tarsal plate in addition to LTS to correct LEIE can provide a similar outcome. However, the anterior approach achieves a slightly higher success rate with fewer recurrences but with a higher overcorrection rate.en
dc.description.affiliationOphthalmology Department Hospital Clínico Universitario de Valladolid (HCUV)
dc.description.affiliationOphthalmology Department Hospital Universitario Río Hortega
dc.description.affiliationOphthalmology Department Hospital Universitario Ramon y Cajal Instituto Ramón y Cajal de Investigación Sanitaria (IRYCIS)
dc.description.affiliationIMO Grupo Miranza
dc.description.affiliationOphthalmology Department of Medical School State University of Sao Paulo (UNESP)
dc.description.affiliationUnespOphthalmology Department of Medical School State University of Sao Paulo (UNESP)
dc.identifierhttp://dx.doi.org/10.1177/11206721231155665
dc.identifier.citationEuropean Journal of Ophthalmology.
dc.identifier.doi10.1177/11206721231155665
dc.identifier.issn1724-6016
dc.identifier.issn1120-6721
dc.identifier.scopus2-s2.0-85147764768
dc.identifier.urihttp://hdl.handle.net/11449/248330
dc.language.isoeng
dc.relation.ispartofEuropean Journal of Ophthalmology
dc.sourceScopus
dc.subjecteyelid disease
dc.subjecteyelid disease: cosmetic eyelid and facial surgery
dc.subjecteyelid disease: eyelid malpositions/trichiasis/ptosis
dc.subjecteyelid disease: eyelid reconstruction
dc.subjectOculoplastic eyelid /lacrimal disease
dc.titleAnterior versus posterior retractor reinsertion with a lateral tarsal strip for involutional entropion repair: A multicentric experienceen
dc.typeArtigo
unesp.author.orcid0000-0002-0654-2519[1]
unesp.author.orcid0000-0003-2695-7794[3]
unesp.author.orcid0000-0003-1785-1226[4]
unesp.author.orcid0000-0002-8757-2946[5]
unesp.author.orcid0000-0001-6996-0366[6]
unesp.author.orcid0000-0002-6938-1230[8]
unesp.author.orcid0000-0002-8854-9625[9]

Arquivos

Coleções

Artigos - Oftalmo/Otorrino e CCP - FMB