Modified treatment of distichiasis with direct tarsal strip excision without mucosal graft. (3rd September 2018)

• Record Type: Journal Article
• Authors: Rozenberg, Assaf; Pokroy, Russell; Langer, Paul; Tsumi, Erez; Hartstein, Morris Elias
• Is Part Of: Orbit. Volume 37:Number 5(2018)
• Page Start: 341
• Page End: 343
• Publication Date: 2018-09-03
• Subjects: Distichiasis -- tarsal excision -- treatment; Eye-sockets -- Surgery -- Periodicals; Eye-sockets -- Diseases -- Periodicals; Orbit -- surgery -- Periodicals; Orbital Diseases -- Periodicals; 617.7
• DOI: 10.1080/01676830.2017.1423356
• Languages: English
• ISSNs: 0167-6830

Abstract

ABSTRACT: Purpose : To describe a new modified technique of direct tarsal excision for treatment of distichiasis. Methods : Retrospective review of consecutive patients who underwent direct tarsal excision without grafting to treat distichiasis between December 2007 and November 2015. Gender, number of eyelids treated, follow-up time, and surgical outcome were recorded. The technique involved dividing the anterior and posterior lamella and excising a two mm tarsoconjunctival strip including the abnormal lash follicles, without suturing or mucosal graft. Results : Seventeen eyelids of 12 patients (Fourteen upper eyelids and 3 lower eyelids) were studied. Sixteen eyelids had acquired distichiasis and one eyelid had congenital distichiasis. Mean age was 64.8 (SD 22.0; range, 25–86 years) Mean postoperative follow-up time was 53 months (SD = 31, range 8 – 104 months). During this period, no recurrence was documented. There were no complications. Conclusions : Direct tarsal excision without a graft is a safe, quick, and effective method for the treatment of distichiasis.