Outcomes of two surgical techniques for major trichiasis treatment. (2nd January 2018)

• Record Type: Journal Article
• Authors: Ferraz, Lucieni CB; Meneghim, Roberta LRS; Galindo-Ferreiro, Alicia; Wanzeler, Ana CV; Saruwatari, Michelli M.; Satto, Larissa H.; Padovani, Carlos R.; Schellini, Silvana A.
• Is Part Of: Orbit. Volume 37:Number 1(2018)
• Page Start: 36
• Page End: 40
• Publication Date: 2018-01-02
• Subjects: Intermarginal split lamella with graft -- lid lamella resection -- major trichiasis -- treatment of trichiasis; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2017.1353108
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: The purpose of this article is to analyze the outcomes of two surgical techniques to treat major trichiasis. A retrospective chart review of 67 patients (89 eyelids) with major trichiasis was performed who underwent surgical treatment using one of two techniques: intermarginal split lamella with graft (ISLG group) or lid lamella resection (LLR group). There were 30 lids in the ISLG group with mean patient age of 71.8 years and 63.3% were females. There were 59 lids in the LLR group with mean patient age of 72.5 years and 52.5% were female. The minimum postoperative follow up was six months. Statistical analysis included descriptive measures, Goodman association test for contrasts between and within multinomial populations and nonparametric Mann–Whitney test for comparison between groups. P < 0.05 was considered statistically significant. The underlying causes of trichiasis were blepharitis (37.07%), chronic meibomitis (21.3%), multiple causes (20.2%), ectropion (11.2%), actinic keratosis (6.7%), or prior ocular surgery (3.3%). Postoperatively, in the ISLG group, there were 20% lids with complete success, 50% underwent laser or electrolysis, 16.7% required further surgery, and 13.3% were unsuccessful. Postoperatively, in the LLR group, there were 47.5% eyelids with complete success, 46.7% underwent laser or electrolysis, 6.8% required further surgery, and 5.1% were unsuccessful. There was a higher statistical chance of complete success with LLR ( P < 0.05). LLR is superior to ISLG surgery for the treatment of major trichiasis. There is a greater chance of success with LLR and it is technically simpler.