The Effectiveness of Simultaneous Lateral Tarsal Strip With Endonasal Dacryocystorhinostomy for the Treatment of Nasolacrimal Duct Obstruction and Lower Lid Laxity

Lee, Hwa; Hwang, Jin Young; Kim, Jung Wan; Park, Minsoo; Baek, Sehyun

doi:10.1097/scs.0b013e3182869ae3

Cited by 7 publications

(5 citation statements)

References 26 publications

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“…Lee et al . 22 evaluated the efficacy of simultaneous EDCR and lateral tarsal strip procedure for the treatment of 17 NLDO patients (29 eyes) with lower eyelid laxity. Anatomical and functional success was achieved in 89.5% and 86.2% of patients.…”

Section: Discussionmentioning

confidence: 99%

Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Sung

Lee

Kim

et al. 2019

Sci Rep

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There is limited evidence in literature determining age effect on outcomes of endoscopic dacryocystorhinostomy (EDCR) in adult patients with primary acquired nasolacrimal duct obstruction (NLDO). We aimed to analyze the outcomes of EDCR according to age in primary acquired NLDO. A retrospective study was performed on consecutive adult patients and patients were divided into two age groups; group 1 (aged to 61 years) and group 2 (aged 62 to 89 years) based on the average value. The minimum required follow-up period was 6 months. A total of 441 EDCRs performed in 342 patients were enrolled. The anatomical success rate was not significantly different between the two groups (91.8% and 88.2%, P = 0.209). However, the functional success rate was significantly lower in the group 2 (85.1% and 76.9%; P = 0.036). Functional failure was associated with old age and a history of diabetes mellitus (P = 0.024 and P = 0.008). In subgroup analysis of patients with anatomical success but functionally failed EDCR, group 2 had significantly more comorbid conditions such as eyelid laxity (P = 0.026). In conclusion, the comorbid conditions which increase with age may affect functional outcome, especially eyelid laxity, careful preoperative examination of the eyelid and conjunctiva should be emphasized to lacrimal surgeons before performing EDCR.

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Section: Discussionmentioning

confidence: 99%

Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Sung

Lee

Kim

et al. 2019

Sci Rep

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“…The combined surgeries (lacrimal drainage surgery with LTS) are effected techniques for the management of nasolacrimal duct obstruction and lower lid laxity. 13 LTS is helping to restore the normal lid function and gives a rapid rehabilitation and best aesthetic outcome. 14 Transverse everting sutures can be performed in combination with LTS for the better outcome for the correction of involutional entropion.…”

Section: Discussionmentioning

confidence: 99%

Lateral tarsal strip (LTS): Surgical technique and outcomes

Kadir¹,

Maurya²,

Islam³

et al. 2021

IJOOO

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To assess the outcome of lateral tarsal strip (LTS) for the involutional entropion and ectropion. Materials and Methods: A quasi study was carried out in a tertiary eye hospital of Dhaka, Bangladesh, between January 2013 and December 2020. This study included all patients who underwent lateral tarsal strip (LTS) procedure for the correction of involutional entropion and ectropion. Group A patients were presented with involutional entropion and group B patients were presented with involutional ectropion. We assessed surgical outcome and postoperative complications. Results: Out of 48 lower eyelids marginal malposition of 43 patients were studied in this study and 5 cases were presented bilateral lower lid marginal malposition. Lateral tarsal strip (LTS) procedure was a unique procedure to correct the involutional entropion (24 eyelids 50%), involutional ectropion (24 eyelids 50%), involving the lower eyelid. The male to female ratio was almost 2.6:1. The mean age was 68.49 years with 54 years to 90 years age range. The surgical correction was satisfactory in 95.9%, and 91.7% of lower eyelids involutional entropion, and involutional ectropion respectively. Conclusions: Lateral tarsal strip (LTS) is a unique procedure to achieve better cosmetic and functional outcome for the correction involutional eyelid marginal malposition (entropion, and ectropion).

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“…Also, LTS can resolve malposition for involutional ectropion patients without medial canthus laxity. (3)(4)(5) Furthermore, LTS can treat lower eyelid horizontal laxity and conjunctival fornix contracture associated with ocular prosthesis in anopia patients. (6) There are several modi ed LTS approaches that have been compared with the simple LTS procedure.…”

Section: Introductionmentioning

confidence: 99%

The Lateral Tarsal Strip Procedure: Reflections by a Specialist With 20 Years of Experience in a Tertiary Medical Center (Cross-sectional Study)

Kim

Baek

2022

Preprint

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Introduction: Lateral tarsal strip (LTS) is a simple surgical technique that can correct eyelid malposition. Clinical indications vary from involutional entropion and ectropion, lower lid laxity, and lower lid retraction to punctal and paralytic ectropion. LTS mainly treats eyelid malposition by correcting horizontal laxity. Herein, we report the clinical indications for and effects of LTS.Methods: We retrospectively reviewed medical records of patients who underwent LTS by a single oculoplastic surgeon with eight years of experience performing the procedure at Korea University Guro Hospital.Results: We included 247 patients with 325 treated eyelids in the study. Involutional entropion was the most common indication, accounting for 69 patients (27.94%) and 88 eyelids (27.08%). The second most common indication was lower lid laxity (n=44 patients (17.81%) and 68 eyelids (20.92%)). Simultaneous surgery in addition to LTS was performed in 167 patients (67.6%) and 219 eyelids (67.4%); the most common was endoscopic dacryocystorhinostomy (DCR), which was performed in 50 patients (29.94%) and 80 eyelids (36.53%). Conclusion: LTS can be performed alone or simultaneously with oculoplastic procedures for various indications. Overcorrection with fixation above the canthal angle is useful to reduce recurrence. This study aims to explain the clinical importance of the LTS procedure.

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The Effectiveness of Simultaneous Lateral Tarsal Strip With Endonasal Dacryocystorhinostomy for the Treatment of Nasolacrimal Duct Obstruction and Lower Lid Laxity

Abstract: Concurrently performed DCR with LTS can be an effective tool for the treatment of nasolacrimal duct obstruction and lower lid laxity. It is recommended for examining lid laxity carefully using lid distraction test in patients with epiphora.

Cited by 7 publications

References 26 publications

Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Surgical outcomes of endoscopic dacryocystorhinostomy: analysis of age effect

Lateral tarsal strip (LTS): Surgical technique and outcomes

The Lateral Tarsal Strip Procedure: Reflections by a Specialist With 20 Years of Experience in a Tertiary Medical Center (Cross-sectional Study)

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