AI Summary & Key Takeaways
AI InsightConclusion: The modified Lazy-T technique we applied in the surgical treatment of medial senile ectropion is an effective method which has fewer complications.
📌 3 Key Takeaways
Abstract
Objective: To evaluate the results and activity of the modified technique of tarsoconjunctival diamond excision and horizontal shortening (Lazy-T) in patients with medial involutional ectropion. Methods: Eighty two eyes of 59 patients who had a modified Lazy-T operation to the lower lid and who had suffered from epiphora were evaluated retrospectively. Surgical application was carried out in the cases whose punctum eversion was 3 mm or over. Those who had cicatricial and paralytic ectropion, dacryostenosis and ectropion relapse and the cases whose follow-up period was shorter than 6 months were excluded from the study. Lower lid laxity and the laxity of the medial and lateral canthal tendons were evaluated in all patients preoperatively. Surgical technique was accepted as successful in the patients who had no epiphora, and the space between the eyelid disappeared. Results: Twenty five of the patients were female and 34 male. The mean age was 67.3±13.4 years. The mean follow-up period was 10.8±3.9 months. A notch on the incision line in the eye lid contour was observed in 3 eyes. Horizontal shortening was reiterated in six eyes whose ectropion did not reform well and success was achieved as a result. The success rate was 92.7% in the patients to whom we performed modified Lazy-T operation. Conclusion: The modified Lazy-T technique we applied in the surgical treatment of medial senile ectropion is an effective method which has fewer complications.
Özet
Amaç: Medial involusyonel ektropiyonu olan hastalarda, modifiye tarsokonjonktival eşkenar dörtgen eksizyon ve horizontal kısaltma (Lazy-T) tekniğinin sonuçlarını ve etkinliğini değerlendirmek. Yöntemler: Alt kapağa modifiye Lazy-T cerrahisi uygulanan, medial involusyonel ektropiyonu olan ve epiforası bulunan 59 hastanın 82 gözü retrospektif olarak değerlendirildi. Punktum eversiyonu 3 mm ve daha fazla olan olgulara cerrahi uygulandı. Skatrisyel ve paralitik ektropionu olanlar, dakriostenozu bulunanlar ve nüks ektropiyonu olanlar ile takip süresi 6 aydan kısa olan olgular çalışmaya dahil edilmedi. Operasyon öncesi tüm hastaların alt kapak, medial ve lateral kantal tendonlarının gevşekliği değerlendirildi. Ameliyat sonrası epiforası bulunmayan, normal kapak kenarı-glob mesafesi olan hastalarda cerrahi teknik başarılı kabul edildi. Bulgular: Hastaların 25i kadın, 34ü erkekti. Yaş ortalaması 67,3±13,4 yıl idi. Ortalama takip süresi 10,8±3,9 ay idi. Üç gözde (%3,7) kapak konturunda insizyon hattında çentiklenme görüldü. Olguların 5inde (%6,1) sütür irritasyonuna bağlı korneal abrazyon gelişti. Modifiye Lazy-T uyguladığımız hastalarda %92,7 başarı sağlandı. Sonuç: Medial involusyonel ektropiyonun cerrahi tedavisinde uyguladığımız modifiye Lazy-T tekniği etkin ve komplikasyonları az olan cerrahi bir yöntemdir.