Upper eyelid blepharoplasty, tarsal margin rotation, and posterior lamellar super-advancement for correction of severe upper eyelid cicatricial entropion and dermatochalasis

Authors

  • Karen K.W. Chan Prince of Wales Hospital
  • Chi-Lai Li Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital
  • Regine Y.C. Chan Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital
  • Alvin L. Young Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital
  • Wilson W.K. Yip Department of Ophthalmology and Visual Sciences, Prince of Wales Hospital
  • Kelvin K.L. Chong Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong

Keywords:

Blepharoplasty, Entropion

Abstract

Objective: To report the long-term efficacy and safety of simultaneous correction of upper eyelid cicatricial entropion and dermatochalasis.

Method: A retrospective non-comparative chart review of consecutive patients with severe upper eyelid cicatricial entropion and dermatochalasis who underwent surgical correction from July 2012 to July 2014 at a tertiary referral centre by a single surgeon.

Results: Twelve eyes of 10 patients aged 80±7 (range, 65-92) years old received upper eyelid blepharoplasty, tarsal margin rotation, and graded posterior lamellar super-advancement. All eyes resumed normal upper eyelid margin position with no recurrence over a mean follow-up of 48.3±18 (range, 9-70) months. Complications including suture granuloma (n=1), transient lagophthalmos (n=1), mild lid notching (n=2) and residual peripheral asymptomatic trichiasis or distichiasis (n=3) were managed conservatively successfully. No patients developed exposure keratopathy after surgery, and the number of lubricants required was statistically significantly reduced (p=0.005).

Conclusion: Our pilot study showed that combining upper lid blepharoplasty, tarsal margin rotation and graded posterior lamellar super-advancement is safe and effective in achieving long-term correction of severe upper eyelid cicatricial entropion and dermatochalasis.

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Published

2020-12-22

How to Cite

1.
Chan KK, Li C-L, Chan RY, Young AL, Yip WW, Chong KK. Upper eyelid blepharoplasty, tarsal margin rotation, and posterior lamellar super-advancement for correction of severe upper eyelid cicatricial entropion and dermatochalasis. Hong Kong J Ophthalmol [Internet]. 2020Dec.22 [cited 2021Apr.13];24(2). Available from: https://hkjo.hk/index.php/hkjo/article/view/288

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