The Lateral Tarsal Strip for Paralytic Ectropion in Patients with Leprosy
Annals of Dermatology
;
: 742-746, 2017.
Article
in English
| WPRIM
| ID: wpr-225297
ABSTRACT
BACKGROUND:
In patients with leprosy, paralysis of the facial nerve results in the lower eyelid ectropion and lagophthalmos as a sequela even when the leprosy is cured. Paralytic ectropion causes many functional and cosmetic eye problems, leading to blindness if left untreated.OBJECTIVE:
The purpose of this retrospective study is to evaluate the efficacy of surgical correction of paralytic ectropion, the lateral tarsal strip, in patients with leprosy.METHODS:
Between 2010 and 2015, 40 Korean patients (44 eyelids) with paralytic ectropion who had visited Korean Hansen Welfare Association Hospital were treated with the lateral tarsal strip. Four-point patients' global assessment scale, local complications, and recurrence were assessed at the end of follow-up period. The average follow-up period was 12 months.RESULTS:
In the 44 eyelids, recurrence was observed in 5 cases (5/44, 11.4%). There were no serious postoperative complications except mild size discrepancy of both eyes. Most patients were satisfied with the results and mean satisfaction scale was 2.6/3.CONCLUSION:
The lateral tarsal strip is a simple, safe, and effective treatment method for the dermatologic surgeon to correct paralytic ectropion of mild to moderate degree in patients with leprosy.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Paralysis
/
Postoperative Complications
/
Recurrence
/
Blindness
/
Retrospective Studies
/
Follow-Up Studies
/
Ectropion
/
Eyelids
/
Facial Nerve
/
Leprosy
Type of study:
Observational study
/
Prognostic study
Limits:
Humans
Language:
English
Journal:
Annals of Dermatology
Year:
2017
Type:
Article
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