| Correction of Diffuse Trichiasis Using Eyelid Margin Splitting Combined with Cilia Rotation Suture. |
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Miri Na, Taeseong Park, Kyeongwook Lee |
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Saevit Eye Hospital, Goyang, Korea. lkw740306@hanmail.net |
| 눈꺼풀테 분리와 병행한 속눈썹 회전 봉합술을 이용한 광범위 속눈썹증 교정 |
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나미리⋅박태성⋅이경욱 |
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새빛안과병원 |
Correspondence:
Kyeongwook Lee,
Email: lkw740306@hanmail.net
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Received: 29 September 2016 • Revised: 7 December 2016 • Accepted: 14 January 2017 |
| Abstract |
PURPOSE
In the present study, we introduced and evaluated the effectiveness of eyelid margin splitting combined with cilia rotation suture performed in simplified steps resulting in minimized complications in diffuse trichiasis. METHODS: A retrospective review of medical records was performed on 31 eyelids of 21 patients with diffuse trichiasis. The patients had trichiasis of more than 1/3 of eyelid margin and received eyelid margin splitting combined with cilia rotation suture at our hospital. The patients did not have eyelid or lid margin abnormalities and were followed up more than 6 months after surgical correction. A telephone survey of the surgical outcomes including cosmetic satisfaction and recurrence was conducted in patients who did not visit at postoperative 12 months. Success was defined as complete resolution of symptoms and acceptable cosmesis at final visit. RESULTS: The patients included 2 males (3 eyes) and 19 females (28 eyes) with an average age of 54.5 ± 18.3 years (range, 19.2–82.4 years). The mean follow-up period was 15.3 ± 5.6 months (range, 10–35 months). Cornea or conjunctiva irritation symptoms by misdirected eyelash were resolved in all eyelids; 3 eyelids with recurred trichiasis required additional electrolysis to remove irritating cilia resulting in an overall success rate of 90.3%. CONCLUSIONS: For patients with diffuse trichiasis, an eyelid margin splitting combined with cilia rotation suture performed in simplified surgical steps showed excellent results resolving irritating symptoms with very low recurrence rate and high cosmetic satisfaction. |
| Key Words:
Cilia rotation suture;Eyelid splitting;Trichiasis |
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