The Medial Spindle Procedure for Involutional Medial Ectropion

Nowinski, Thaddeus S.; Anderson, Richard L.

doi:10.1001/archopht.1985.01050110146045

Cited by 75 publications

(23 citation statements)

References 10 publications

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“…6 The lower eyelid is everted and a lacrimal probe is inserted into the inferior canaliculus. A diamond shape of conjunctiva and lower eyelid retractors posterior to the lacrimal punctum is excised using Wescott scissors, so that the superior apex of the diamond is immediately below the lacrimal ampulla.…”

Section: Surgical Technique Of Medial Spindlementioning

confidence: 44%

The lateral tarsal strip in ectropion surgery: is it effective when performed in isolation?

Kam

Cole

Bunce

et al. 2012

Eye

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Purpose The lateral tarsal strip (LTS) for involutional ectropion is often performed with a medial spindle (tarsoconjunctival diamond excision). We aimed to evaluate how well the LTS alone can achieve symptomatic relief. Methods A retrospective, comparative case series was performed on consecutive patients undergoing LTS alone or with medial spindle for involutional ectropion. Outcomes for LTS alone were clinically derived functional success (improvement in symptoms and aesthetic appearance) and anatomical success (judged by punctal position in the tear lake, punctal movement during blinking and absence of ectropion). We verified if these outcomes compared favourably with those of the patients who had undergone an LTS with medial spindle. Procedure selection was based on pre-operative clinical examination, especially the lateral pinch and twist test (this is described). Complications were also recorded. Results Of 67 eyes, 23 had LTS alone and 44 had LTS with a medial spindle. Of those having LTS alone the functional success rate was 87% (95% CI (66.4, 97.2%)). This did not differ significantly from a success rate of 89% (75.4, 96.2%) in LTS with a medial spindle (P ¼ 0.99). A total of 78% (56.9, 92.5%) of patients undergoing LTS had a good anatomical result compared with 82% (67.3, 91.8%) of those who had an additional medial spindle (P ¼ 0.75). Complication rates were similar between the groups. Conclusion Where the lateral pinch and twist test returns the eyelid to a good position, the LTS alone can suffice for the management of involutional ectropion.

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Section: Surgical Technique Of Medial Spindlementioning

confidence: 44%

The lateral tarsal strip in ectropion surgery: is it effective when performed in isolation?

Kam

Cole

Bunce

et al. 2012

Eye

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“…Until now, a variety of surgical techniques have been described for correction of medial ectropion: the lazy-T procedure, a triangle of posterior lamella including retractors is excised, with medial horizontal eyelid shortening [8]. The medial spindle, procedure involves the excision of a diamond of conjunctiva and retractors with sutures tied anteriorly on the skin [2,10]. A transconjunctival approach retractor plication and lateral tarsal strip [8].…”

Section: Discussionsupporting

confidence: 43%

“…Moreover, the formation of an inflammatory cicatrix induced by the sutures also contributed to maintain the lid in an upright posture allowing the lower eyelid to heal properly and in good position, without fixation lateral canthal tendon [7]. Thru, a nasal conjunctival spindle was practicing in order of reinsertion the retractors, [2,10] and we also used the same surgical technique at the medial and temporal region of the lower eyelid [2].…”

Section: Discussionmentioning

confidence: 46%

Lower Lid Tarsal Ectropion Correction by three Tarsoconjunctival Spindles

Osorio¹

2017

AOVS

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“…In ectropion involving only punctum eversion without significant horizontal eyelid laxity, a medial spindle excision is usually performed to vertically shorten the posterior lamella [27]. Medial spindle excision involves removal of a horizontal spindle shape conjunctiva and LER from inferior to the canaliculus followed by an inverting suture closure.…”

Section: Ectropionsupporting

confidence: 40%

Age-related eyelid changes

et al. 2017

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Aging is a natural process where changes occur in multiple tissues, resulting in aesthetic and functional effects. Aging eyelids lead to a tired or sleepy appearance. Progressive changes continue throughout life; these may eventually affect the ocular surface and cause visual impairment. Objective is to report the pathophysiology of the common age-related eyelid disorders and the current management concepts. This article presents the pathophysiology and the surgical procedures of eyelid disorders, such as blepharoptosis, dermatochalasis, entropion, ectropion, baggy eyelids, epicanthus, and lateral canthal aging. In general, most agerelated eyelid changes are corrected due to its to its associated cosmetic and functional problems. Management is based on anatomic factors contributing to the eyelid disorder. Conclusion is the choice of surgical procedure is based on the exact localisation of the eyelid pathology.

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The Medial Spindle Procedure for Involutional Medial Ectropion

Cited by 75 publications

References 10 publications

The lateral tarsal strip in ectropion surgery: is it effective when performed in isolation?

The lateral tarsal strip in ectropion surgery: is it effective when performed in isolation?

Lower Lid Tarsal Ectropion Correction by three Tarsoconjunctival Spindles

Age-related eyelid changes

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