Lid Splitting and Posterior Lamellar Cryosurgery for Congenital Distichiasis. |
Ik Hwan Chung, Young Chun Lee |
Department of Ophthalmology, Kangnam St. Mary's Hospital, Catholic University, Medical College, Seoul, Korea. |
안건 분리후 냉응고술을 이용한 산천성 첩모 중생증의 치료 |
정익환(Ik Hwan Chung),이영춘(Young Chun Lee) |
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Abstract |
Congenital distichiasis is a rare condition in which accessory row of lashes is present in place of the Meibomian gland orifice. These aberrent ciliae irritate the cornea and conjunctiva and therefore cause epiphora, photophobia, conjunctival injection, corneal erosions, and may develop into opacification. All four patients from the same family who had anomalous row of lashes in their eyelids complained of the same persistent ocular irritation along with strabismus and ptosis. We performed, on all of the four patients, lid splitting along the gray line and cryotherapy to the posterior lid lamella where the follicles of aberrent ciliae are located, and excised redundant skin of upper and lower lids. By these operations, all four patients showed improvement in their ocular irritaton. We report clinical presentation of four patien~s of congenital distichiasis and believe lid splitting and cryosurgery is effective method for congenital disti chiasis. |
Key Words:
Cryosurgery;Distichiasis;Lid splitting |
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