Effect of lower lid tightening surgery with lateral tarsal strip on intraocular pressure

Kaur, Harpreet; Athwal, Sarju; Hassan, Ali; Khandwala, Mona

doi:10.1016/j.bjps.2021.06.006

Cited by 2 publications

(2 citation statements)

References 17 publications

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Section: Discussionmentioning

confidence: 99%

“…Since its original description in the late 1970s, the lateral tarsal strip procedure has remained one of the most practical and commonly performed procedures, particularly in cases of horizontal eyelid shortening, such as involutional or paralytic upper and lower eyelid laxity and lateral canthal tendon laxity. [12][13][14][15][16][17][18][19][20] Until now, this technique has been readapted for revision of lateral canthal deformity without residual laxity 8 As lowering of the lower eyelid procedure could produce downward traction of the lower eyelid, 21 canthal revisions on those patients could be much more complicated and challenging. Three patients who once had to lower the lower eyelid procedure presented with mild lower eyelid retraction and sclera show.…”

Section: Discussionmentioning

confidence: 99%

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Restoration of the Lateral Canthus and Stabilization of the Lower Eyelid After Failed Esthetic Lateral Canthoplasty

Zhang,

Chen,

et al. 2023

Journal of Craniofacial Surgery

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Background: An improper procedure of esthetic lateral canthoplasty can lead to lateral canthal deformity with other complications. To ensure proper canthal contour and eyelid function, the lateral canthus must be restored and the lower eyelid must be stabilized. Methods: This was a retrospective study that included a group of consecutive patients who had failed esthetical lateral canthoplasty between 2020 and 2022. All patients underwent the modified lateral tarsal strip procedure to restore the normal anatomy of the lateral canthus and stabilize the lower eyelid. Clinical data (age, sex, laterality, follow-up, ocular symptoms, previous medical history, and lateral canthal deformity) were collected. Preoperative and postoperative photographs were analyzed for cosmetic outcomes. Results: Among the 15 female patients, 25 eyelids were treated, including both eyes in 10 patients and only the left eye in 5 others. The mean age was 32.6 years. The mean follow-up was 13.34 months. All the patients had undergone esthetic lateral canthoplasty with other esthetic surgeries. Lateral canthus deformities include canthal webbing, rounding canthus, eyelid margin defect, remnant raw surface, mucosal exposure, lower eyelid retraction, sclera show, ectropion, symblepharon, and lagophthalmos. All the patients exhibited esthetically satisfactory results with improved ocular symptoms. In statistical analysis, horizontal palpebral aperture, vertical palpebral aperture, MRD2, and lateral canthus angle were statistically different pre to postprocedure (paired t test, P < 0.001). Conclusions: Restoration of the lateral canthus and stabilization of the lower eyelid using the modified lateral tarsal strip procedure showed good functional and cosmetic outcomes in patients who had failed lateral canthoplasty.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Restoration of the Lateral Canthus and Stabilization of the Lower Eyelid After Failed Esthetic Lateral Canthoplasty

Zhang,

Chen,

et al. 2023

Journal of Craniofacial Surgery

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Change of ectropion surgery on astigmatic vector and ocular biometry

Aydemir,

Karataş,

Aksoy Aydemir

2024

ADYÜ Sağlık Bilimleri Derg

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Aim: To evaluate corneal astigmatism change and intraocular lens (IOL) power values following ectropion surgery. Materials and Methods: This comparative prospective research included patients with involutional ectropion who were divided using the snap-back test. The severity of ectropion increased progressively to reach the highest levels in Group 4. Patients underwent lateral tarsal strip procedures, and preoperative and 3-month postoperative biometry measurements were performed. Results: While the mean flattest keratometry (K1), steepest keratometry (K2), and mean keratometry (Km) values exhibited nonsignificant increases at 3 months after surgery in Groups 1 and 2 (p>0.05 for all), the mean values of K1, K2, and Km were increased with statistical significance in Groups 3 and 4 at 3 months postoperatively (p<0.05 for all). Conclusion: According to the snap-back test, ectropion in advanced stages will affect topographic values and IOL power calculations. If surgeons are going to perform cataract or refractive surgery after ectropion repair, they may consider changing the lens power selection accordingly.

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Effect of lower lid tightening surgery with lateral tarsal strip on intraocular pressure

Cited by 2 publications

References 17 publications

Restoration of the Lateral Canthus and Stabilization of the Lower Eyelid After Failed Esthetic Lateral Canthoplasty

Restoration of the Lateral Canthus and Stabilization of the Lower Eyelid After Failed Esthetic Lateral Canthoplasty

Change of ectropion surgery on astigmatic vector and ocular biometry

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