The Correction of Cicatricial Entropion of Upper Eyelid by Tarsal Fracture and Anterior Lamellar Reposition

Seong Min Hong; Sang Duck Kim

doi:10.3341/jkos.2009.50.12.1755

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Hong and Kim: The Correction of Cicatricial Entropion of Upper Eyelid by Tarsal Fracture and Anterior Lamellar Reposition

Original Article

J Korean Ophthalmol Soc 2009;50(12):1755-1760.

Published online: 7 September 2009

DOI: https://doi.org/10.3341/jkos.2009.50.12.1755

The Correction of Cicatricial Entropion of Upper Eyelid by Tarsal Fracture and Anterior Lamellar Reposition

Seong Min Hong, MD, Sang Duck Kim, MD

Department of Ophthalmology, Wonkwang University College of Medicine, Iksan, Korea

Address reprint requests to Sang Duck Kim, MD, Department of Ophthalmology, Wonkwang University Hospital #344-2 Sinyong-dong, Iksan 570-711, Korea Tel: 82-63-859-1383, Fax: 82-63-855-1801, E-mail: sangduck@wonkwang.ac.kr

Received 11 May 2009 Accepted 17 August 2009

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the surgical results of tarsal fracture and anterior lamellar reposition in patients with cicatricial entropion.

Methods

The authors retrospectively analyzed the medical records of 9 patients (11 eyes) who had undergone tarsal fracture and anterior lamellar reposition for cicatricial entropion from October 2003 to September 2008.

Results

6 eyes of 5 patients were male and 5 eyes of 4 patients were female. The patients' mean age was 63.4 (43.5∼75.9) years. The mean follow-up period was 29.9 (7∼67.6) months. After surgery, the ocular irritation disappeared in all patients. There were no recurrences or complications.

Conclusions

Tarsal fracture and anterior lamellar reposition in patients with cicatricial entropion is a simple and cosmetically effective procedure without complications.

Keywords: Anterior lamellar reposition, Cicatricial entropion, Tarsal fracture

References

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Figure 1.

Schematic figures of procedures of tarsal fracture and anterior lamellar reposition.

Figure 2.

(A) Preoperative photograph of cicatricial entropion in the right upper eyelid. The vertical palpebral fissure is narrowed. (B) Preoperative photograph of blepharitis and distichiasis in the upper eyelid.

Figure 3.

(A) Postoperative photograph showing the correction of cicatricial entropion in the right eye. The vertical palpebral fissure is widened. (B) Postoperative photograph showing epithelialization of the fractured site.

Figure 4.

(A) Immediate postoperative photograph showing erythematic swelling of the upper eyelid margin.(B) After postoperative 5 months, an erythematic swelling of the upper eyelid margin disappeared.

Table 1.

Characteristics of patients with cicatricial upper eyelid entropion who underwent tarsal fracture and anterior lamellar reposition procedure

Case	Age/Sex	Causes	Combined disease	Involved eye	Previous operation	Follow-up time (months)
1	63.0/F	Unknown	Distichiasis	OD	No	42.2
2	75.9/M	Unknown	Lower lid ectropion	OD	Yes	12.8
3	71.1/F	Keratitis	Trichiasis	OD	Yes	27.5
4	69.9/F	Unknown	Trichiasis	OS	Yes	17.2
5	48.3/M	Chemical burn	Corneal opacity	OS	No	42.0
6	73.1/F	Unknown	Trichiasis, Corneal opacity	OU	Yes	41.9
7	52.6/M	Chemical burn	Corneal opacity	OD	Yes	10.9
8	43.5/M	Chemical burn	Trichiasis	OU	No	67.6
9	73.8/M	Traffic accident	Distichiasis, Corneal opacity	OD	No	7.0

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