Sr. Seiff et al., Tarsal margin rotation with posterior lamella superadvancement for the management of cicatricial entropion of the upper eyelid, AM J OPHTH, 127(1), 1999, pp. 67-71
PURPOSE: To report the efficacy of tarsal margin rotation with posterior la
mella superadvancement in the management of cicatricial entropion of the up
per eyelid.
METHODS: In 15 consecutive patients, 22 eyelids with cicatricial entropion
were managed with tarsal margin rotation and posterior lamella superadvance
ment. In a retrospective study, the technique and results were evaluated.
RESULTS: In all 22 upper eyelids, the normal eyelashes rotated away from th
e surface of the eye. Mean follow-up was 12.9 +/- 12.4 months (range, 1 to
48 months). One eyelid developed buckling of the tarsus. Three eyelids need
ed electrolysis to treat isolated metaplastic cilia posterior to the normal
lash line.
CONCLUSIONS: Tarsal margin rotation with posterior lamella superadvancement
appears to be effective in managing cicatricial entropion of the upper lid
. (C) 1999 by Elsevier Science Inc. All rights reserved.