Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 10, Volume 42, Issue 1, January 2011, Pages 103-108 PDF (392.19 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2011.16804 | ||
| Author | ||
| Sawsan A Shalaby | ||
| Ophthalmology department, Faculty of medicine (for Girls) Al Azhar University | ||
| Abstract | ||
| Purpose: To evaluate the efficacy of the Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid. Patients and methods: Nineteen patients (24 upper lids) with severe cicatricial entropion, trichiasis, and tarsal shortening were included in this study. Previous Snellen’s operation was recorded in 6 patients (8 eyelids). All cases underwent anterior lamellar recession and wies procedure. Results: No residual entropion (no lash-cornea touch) was recorded in all lids (100%). All cases developed postoperative edema that subsided gradually within one week. Over correction occurred in 2 lids (8.3%), and three eyelids developed infection (12.5%), which healed in few days after antibiotic therapy. The mean follow up was 9 months (range; 6 to12 months). Conclusion: Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid are effective especially for recurrent cases and short tarsus; no lid shortening developed postoperatively, and gave cosmetically accepted results. | ||
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