Scientific Online Resource System

Bulgarian Review of Ophthalmology

Posterior lamellar tarsal rotation technique in entropion with upper eyelid trichiasis

B. Nenkova, Y. Manolova

Abstract

Introduction: The upper eyelid entropion is a rare pathology. It is frequently presented as uni- or bilateral papillary conjunctivitis, the cause for which escapes the physician`s attention. The causes for developing an entropion are multiple and one of the most frequent is the floppy upper eyelid syndrome. The disease often remains underdiagnosed while complications emerge, that is why the number of registered cases of this diagnose is small

Objective: To present a `posterior lamellar tarsal rotation` technique for operative management of upper eyelid entropion.

Material and methods: This study enrolls 5 patients with upper eyelid entropion - 4 men and 1 woman, at the age of 36-67 years. Two of the men were diagnosed with entropion and trichiasis due to floppy eyelid syndrome, two have idiopathic etiology and the woman has a cicatricial entropion due to chemical burn. We present an operative technique with a tarsal rotation with posterior access for the correction of the upper eyelid entropion.

Results: This study enrolls 5 patients with upper eyelid entropion. For all operated patients was established a very good effect - lack of trichiasis and entropion and lack of subjective complaints divided into a three-stage scale (1 - better, 2- no change, 3 - worsening) during the postoperative period.

Conclusions: The suggested operative technique is easy to perform and has good functional and cosmetic effect.

Keywords

entropion; upper eyelid; surgical treatment; tarsal rotation

Full Text


References

Polack S, Brooker S, Kuper H, Mariotti S, Mabey D, Foster A. Mapping the global distribution

of trachoma. Bull World Health Organ. 2005 Dec;83(12):913-9.

Guimarães FC, Cruz AA. Eyelid changes in long-standing leprosy. Ophthal Plast Reconstr Surg. 1998 Jul;14(4):239-43.

Goldberg R, Seiff S, McFarland J, Simons K, Shorr N. Floppy eyelid syndrome and blepharochalasis. Am J Ophthalmol. 1986 Sep 15;102(3):376-81.

Ezra DG, Ellis JS, Gaughan C, Beaconsfield M, Collin R, Bunce C, et al. Changes in tarsal plate fibrillar collagens and elastic fibre phenotype in 􀃀 oppy eyelid syndrome. Clin Experiment Ophthalmol. 2011 Aug;39(6):564-71.

Netland PA, Sugrue SP, Albert DM, Shore JW. Histopathologic features of the 􀃀 oppy eyelid syndrome. Involvement of tarsal elastin. Ophthalmology. 1994 Jan;101(1):174-81.

Pihlblad MS, Schaefer DP. Eyelid laxity, obesity, and obstructive sleep apnea in keratoconus. Cornea. 2013 Sep;32(9):1232-6.

Karhanová M, Hobzová M, Maresová K. [Floppy eyelid syndrome and obstructive sleep apnoea]. Ceska Slov Oftalmol Cas Ceske Oftalmol Spolecnosti Slov Oftalmol Spolecnosti. 2012 Feb;68(1):22-6, 28.

Schlötzer-Schrehardt U, Stojkovic M, Hofmann-Rummelt C, Cursiefen C, Kruse FE, Holbach LM. The Pathogenesis of ô€ƒ€ oppy eyelid syndrome: involvement of matrix metalloproteinases in elastic fiber degradation. Ophthalmology. 2005 Apr;112(4):694-704.

Abrahamson IA. Eye changes after forty. Am Fam Physician. 1984 Apr;29(4):171-81.

Jordan DR. Blepharochalasis syndrome: a proposed pathophysiologic mechanism. Can J Ophthalmol J Can Ophtalmol. 1992 Feb;27(1):10-5.

Gerner EW, Hughes SM. Floppy eyelid with hyperglycinemia. Am J Ophthalmol. 1984 Nov;98(5):614-6.

Leibovitch I, Selva D. Floppy eyelid syndrome: clinical features and the association with obstructive sleep apnea. Sleep Med. 2006 Mar;7(2):117-22.

McNab AA. Floppy eyelid syndrome and obstructive sleep apnea. Ophthal Plast Reconstr Surg. 1997 Jun;13(2):98-114.

Huon L-K, Liu SY-C, Camacho M, Guilleminault C. The association between ophthalmologic diseases and obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath Spolecnosti Slov Oftalmol Spolecnosti. 2012 Feb;68(1):22-6, 28.

Schlötzer-Schrehardt U, Stojkovic M, Hofmann-Rummelt C, Cursiefen C, Kruse FE, Holbach LM. The Pathogenesis of ô€ƒ€ oppy eyelid syndrome: involvement of matrix metalloproteinases in elastic fiber degradation. Ophthalmology. 2005 Apr;112(4):694-704.

Abrahamson IA. Eye changes after forty. Am Fam Physician. 1984 Apr;29(4):171-81.

Jordan DR. Blepharochalasis syndrome: a proposed pathophysiologic mechanism. Can J Ophthalmol J Can Ophtalmol. 1992 Feb;27(1):10-5.

Gerner EW, Hughes SM. Floppy eyelid with hyperglycinemia. Am J Ophthalmol. 1984 Nov;98(5):614 6.

Leibovitch I, Selva D. Floppy eyelid syndrome: clinical features and the association with obstructive sleep apnea. Sleep Med. 2006 Mar;7(2):117-22.

McNab AA. Floppy eyelid syndrome and obstructive sleep apnea. Ophthal Plast Reconstr Surg. 1997 Jun;13(2):98-114.

Huon L-K, Liu SY-C, Camacho M, Guilleminault C. The association between ophthalmologic diseases and obstructive sleep apnea: a systematic review and meta-analysis. Sleep Breath Schlaf Atm. 2016 Dec;20(4):1145-54.

Culbertson WW, Ostler HB. The floppy eyelid syndrome. Am J Ophthalmol. 1981 Oct;92(4):568- 75.

Burkat CN, Lemke BN. Acquired lax eyelid syndrome: an unrecognized cause of the chronically irritated eye. Ophthal Plast Reconstr Surg. 2005 Jan;21(1):52-8.

Choo PH. Distichiasis, trichiasis, and entropion: advances in management. Int Ophthalmol Clin. 2002;42(2):75-87.

Kemp EG, Collin JR. Surgical management of upper lid entropion. Br J Ophthalmol. 1986 Aug;70(8):575-9.

Goldberg RA, Joshi AR, McCann JD, Shorr N. Management of severe cicatricial entropion using shared mucosal grafts. Arch Ophthalmol Chic Ill 1960. 1999 Sep;117(9):1255-9.

Ballen PH. A Simple Procedure for the Relief of Trichiasis and Entropion of the Upper Lid. Arch Ophthalmol. 1964 Aug 1;72(2):239-40.

Wies FA. Surgical treatment of entropion. J Int Coll Surg. 1954 Jun;21(6 1):758-60.

Bleyen I, Dolman PJ. The Wies procedure for management of trichiasis or cicatricial entropion of either upper or lower eyelids. Br J Ophthalmol. 2009

Dec;93(12):1612-5.

Kersten RC, Kleiner FP, Kulwin DR. Tarsotomy for the treatment of cicatricial entropion with trichiasis. Arch Ophthalmol Chic Ill 1960. 1992 May;110(5):714-7.

Nasr AM. Eyelid complications in trachoma. I. Cicatricial entropion. Ophthalmic Surg. 1989 Nov;20(11):800-7.

Halasa AH, Jarudi N. Tarsotomy for the correction of cicatricial entropion. Ann Ophthalmol. 1974 Aug;6(8):837-40.

Adamu Y, Alemayehu W. A randomized clinical trial of the success rates of bilamellar tarsal rotation and tarsotomy for upper eyelid trachomatous trichiasis. Ethiop Med J. 2002 Apr;40(2):107-14.

Reacher MH, Muñoz B, Alghassany A, Daar AS, Elbualy M, Taylor HR. A controlled trial of surgery for trachomatous trichiasis of the upper lid. Arch Ophthalmol Chic Ill 1960. 1992 May;110(5):667-74.

West S, Taylor HR. Bilamellar tarsal rotation is the preferred treatment for trachomatous trichiasis. Surv Ophthalmol. 1999 Apr;43(5):468.

Hadija KG. New method for the correction of entropion with trichiasis by tarsotomy. Br J Ophthalmol. 1960 Jul;44:436-9.

Alemayehu W, Kello AB. Trichiasis surgery: a patient-based approach. Community Eye Health. 2010 Dec;23(74):58-9.

Rajak SN, Collin JRO, Burton MJ. Trachomatous Trichiasis and its Management in Endemic Countries. Surv Ophthalmol. 2012 Mar;57- 341(2):105-35.

Dutton JJ. Surgical management of 􀃀 oppy eyelid syndrome. Am J Ophthalmol. 1985 May 15;99(5):557-60.

Moore MB, Harrington J, McCulley JP. Floppy eyelid syndrome. Management including surgery. Ophthalmology. 1986 Feb;93(2):184-8.

Periman LM, Sires BS. Floppy eyelid syndrome: a modified surgical technique. Ophthal Plast Reconstr Surg. 2002 Sep;18(5):370-2.

Merbs SL, West SK, West ES. Pattern of recurrence of trachomatous trichiasis after surgery surgical technique as an explanation. Ophthalmology. 2005 Apr;112(4):705-9.

Sandford-Smith JH. Surgical correction of trachomatous cicatricial entropion. Br J Ophthalmol. 1976 Apr;60(4):253-5.

Reacher MH, Huber MJ, Canagaratnam R, Alghassany A. A trial of surgery for trichiasis of the upper lid from trachoma. Br J Ophthalmol. 1990 Feb;74(2):109-13.

Cornand G. [Trachomatous entropiontrichiasis in the central Sahara (Apropos of 156 Trabut tarsotomies]. Rev Int Trach Int Rev Trach. 1974;51(3):77-83.

Yorston D, Mabey D, Hatt S, Burton M. Interventions for trachoma trichiasis. Cochrane Database Syst Rev. 2006 Jul 19;(3):CD004008.




DOI: http://dx.doi.org/10.14748/bro.v0i4.4783

Refbacks

Font Size


Article Tools
Email this article (Login required)
About The Authors

B. Nenkova
Department of Ophthalmology and Visual Sciences, Medical University of Varna, Specialaized Eye Hospital, Varna
Bulgaria

Y. Manolova
Department of Ophthalmology and Visual Sciences, Medical University of Varna, Specialaized Eye Hospital, Varna
Bulgaria

|