Clinical Effectiveness of the Lateral Tarsal Strip Procedure.

Na, Kun Hoo; Lee, Joon Sik; Lee, Hwa; Baek, Se Hyun

doi:2015.56.6.803

J Korean Ophthalmol Soc > Volume 56(6); 2015 > Article

Original Article

Journal of the Korean Ophthalmological Society 2015;56(6):803-810.
DOI: https://doi.org/10.3341/jkos.2015.56.6.803 Published online June 15, 2015.

Clinical Effectiveness of the Lateral Tarsal Strip Procedure.

Kun Hoo Na, Joon Sik Lee, Hwa Lee, Se Hyun Baek

Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea. shbaek6534@korea.ac.kr

가쪽눈꺼풀판띠고정술의 임상적 효과

나건후⋅이준식⋅이 화⋅백세현

고려대학교 의과대학 안과학교실

Received: 12 September 2014 • Revised: 8 January 2015 • Accepted: 12 May 2015

Abstract

PURPOSE
To evaluate the clinical indications and efficacy of the lateral tarsal strip procedure. METHODS: The medical records of patients who underwent the lateral tarsal strip procedure between September 2008 and February 2014 were retrospectively reviewed. We examined age, gender, diagnosis, procedures simultaneously performed with the lateral tarsal strip, duration of observation, postoperative complications and cases requiring revision surgery. Patients without recurrence or undercorrection of eyelid/lateral canthal area lesions, surgical complication and not requiring revision surgery until final visit were considered as successful cases. RESULTS: One hundred eighty-three eyes of 129 patients were included in this study. The mean patient age was 61.6 years and average follow-up duration was 9.2 months. Diagnoses of eyes were lower lid laxity (39.9%), involutional entropion (24.0%), lower lid retraction (14.8%), cicatricial ectropion (6.6%), lateral canthal deformity (5.5%), involutional ectropion (3.8%) and paralytic ectropion (2.7%). Surgical procedures simultaneously conducted with lateral tarsal strip in 167 eyes of 183 eyes were endoscopic dacryocystorhinostomy (30.5%), lower retractor tightening (19.2%), medial spindle procedure (13.8%), mid-lamellar lengthening (12.6%), lower blepharoplasty (10.8%), Quickert suture (4.2%) and Hotz's operation (3.0%). Successful results were obtained in 116 of 129 patients (89.9%). CONCLUSIONS: The lateral tarsal strip procedure can successfully correct lower lid laxity and be used in various clinical indications with or without other surgical procedures.

Key Words: Lateral tarsal strip;Lid laxity