Correction of Lower Lid Retraction Combined with Entropion using an Ear Cartilage Graft in the Anophthalmic Socket.
10.3341/kjo.2005.19.3.161
- Author:
Jun Woong MOON
1
;
Ho Kyung CHOUNG
;
Sang In KHWARG
Author Information
1. Department of Ophthalmology, Seoul National University College of Medicine, Seoul, Korea. khwarg@snu.ac.kr
- Publication Type:Original Article
- Keywords:
Anophthalmos;
Ear cartilage graft;
Eyelash-everting procedure;
Lateral tarsal strip;
Lower lid retraction combined with entropion
- MeSH:
Retrospective Studies;
Male;
Humans;
Female;
Eyelid Diseases/*etiology/*surgery;
Entropion/*etiology/*surgery;
Ear Cartilages/*transplantation;
Child, Preschool;
Child;
Anophthalmos/*complications;
Adult
- From:Korean Journal of Ophthalmology
2005;19(3):161-167
- CountryRepublic of Korea
- Language:English
-
Abstract:
PURPOSE: To investigate the surgical results of an ear cartilage graft and supplemental procedures for correcting lower lid retraction combined with entropion in anophthalmic patients. METHODS: We reviewed retrospectively the medical records of 7 anophthalmic patients with lower lid retraction and entropion, who received a posterior lamellar ear cartilage graft and one or both of lateral tarsal strip or eyelash-everting procedure between March 1998 and March 2003. Preoperative and postoperative lid and socket statuses were also investigated. RESULTS: Ear cartilage grafts were performed in all 7 patients, lateral tarsal strips in 6, and eyelash-everting procedures in 5. Postoperative follow-up durations ranged from 4 to 28 months (average 12.6 months). Retractions were corrected during follow-up in all patients. There were no cases of entropion immediately after surgery. However, the eyelashes of the lower lid returned to an upright position in 4 patients, but not so severe as to touch the ocular prosthesis, and thus did not require surgical correction during follow up. CONCLUSIONS: Lower lid retraction combined with entropion in anophthalmic patients can be corrected effectively using an ear cartilage graft with selective, supplemental procedures.
