The tarsal strips are sutured to periosteum at the lateral orbital wall, adjusting the height and tension of the lateral canthus. Superior and lateral distraction of the eyelid shows the desired effect of the procedure. Lower eyelid involutional ectropion repair with lateral tarsal strip and internal retractor reattachment with full-thickness eyelid sutures. The canthotomy and the area of dog-ear excision are closed with the same suture material see the images below. Before the polyglactin suture is tied down at the lateral rim, full-thickness sutures are passed. Sign in to access your subscriptions Sign in to your personal account.
Clinical Effectiveness of the Lateral Tarsal Strip Procedure
Mechanical ectropion - This is due to a mass effect on the eyelid eg, from a tumor , which pulls the lid margin away from the globe; it is managed through treatment of the underlying causative factor eg, tumor excision. Eye protection with scleral shell. Of these, involutional ectropion see the images below is the type most commonly seen in clinical practice. Contraindications Active local infection, bleeding disorder, advanced cicatricial ectropion, presence of skin lesion or tumor, ectropion that is not corrected when lateral distraction of the eyelid on clinical examination does not fix the lid malposition. September 9, Last Update Posted:
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Purchase access Subscribe to the journal. Tricompartment model of the lacrimal pump mechanism. A A year-old woman presents with paralytic ectropion of the left eye. Table 1 Demographics of the patients undergoing lateral tarsal strip procedure. You will receive an email whenever this article is corrected, updated, or cited in the literature. November Actual Primary Completion Date:
Procedure A lateral canthotomy is performed using a Westcott scissors, followed by an inferior cantholysis. Patients suitable for local anaesthetic 3. The articles published in the open access journals are high quality and cover a wide range of fields. Both ends were externalized and tied. A retrospective, consecutive case series of patients who underwent LTS and Bick's procedure for all types of involutional lower eyelid malposition, at two centers between January and Sign in to make a comment Sign in to your personal account.