The Lateral Tarsal Strip for Paralytic Ectropion in Patients with Leprosy.
- Author:
Mihn Sook JUE
1
;
Jisook YOO
;
Min Soo KIM
;
Hyang Joon PARK
Author Information
- Publication Type:Original Article
- Keywords: Ectropion; Eyelids; Lateral tarsal strip; Leprosy
- MeSH: Blindness; Ectropion*; Eyelids; Facial Nerve; Follow-Up Studies; Humans; Leprosy*; Methods; Paralysis; Postoperative Complications; Recurrence; Retrospective Studies
- From:Annals of Dermatology 2017;29(6):742-746
- CountryRepublic of Korea
- Language:English
- Abstract: BACKGROUND: In patients with leprosy, paralysis of the facial nerve results in the lower eyelid ectropion and lagophthalmos as a sequela even when the leprosy is cured. Paralytic ectropion causes many functional and cosmetic eye problems, leading to blindness if left untreated. OBJECTIVE: The purpose of this retrospective study is to evaluate the efficacy of surgical correction of paralytic ectropion, the lateral tarsal strip, in patients with leprosy. METHODS: Between 2010 and 2015, 40 Korean patients (44 eyelids) with paralytic ectropion who had visited Korean Hansen Welfare Association Hospital were treated with the lateral tarsal strip. Four-point patients' global assessment scale, local complications, and recurrence were assessed at the end of follow-up period. The average follow-up period was 12 months. RESULTS: In the 44 eyelids, recurrence was observed in 5 cases (5/44, 11.4%). There were no serious postoperative complications except mild size discrepancy of both eyes. Most patients were satisfied with the results and mean satisfaction scale was 2.6/3. CONCLUSION: The lateral tarsal strip is a simple, safe, and effective treatment method for the dermatologic surgeon to correct paralytic ectropion of mild to moderate degree in patients with leprosy.
