Saratov JOURNAL of Medical and Scientific Research

Combined operations for cicatricial entropion of the eyelids

Year: 2020, volume 16 Issue: №2 Pages: 633-635
Heading: Ophtalmology Article type: Original article
Authors: Nuraeva А.В., Galimova V.U.
Organization: Bashkir State Medical University of the Russian Health Care, Russian Eye and Plastic Surgery Center

The purpose of the study is to evaluate the efficiency of combined operations with the use of allogeneic biomateri-als in patients with eyelids cicatricial entropion. Material and Methods. The group under study included 45 patients (50 eyes) aged from 5 to 71 years with cicatricial entropion and trichiasis of eyelids. The patients underwent reconstructive operations with the use of the allograft for eyelid plasty, allotendinous sututres and automucous membrane of lip. The efficiency of the performed operations was evaluated according to the following criteria: the position of the eyelid margin; the width of the palpebral fissure, the degree of the eyelids closure and presence of lacrimation. Results. In the early postoperative period (up to 14 days), all patients had correct position of the eyelids margin and narrowing of the palpebral fissure (up to 7-8 mm, absence of lagophthalmus. 9 patients still had lacrimation. In the long-term follow-up period (up to 3 years), we observed complete elimination of entropion, restoration of the palpebral tissue size and complete closure of eyelids in all patients. Conclusion. The use of the allogeneic biomaterials in the reconstruction of the eyelids with cicatricial entropion allows to eliminate eyelids deformation, lacrimation and lagophthalmus; to restore anatomical position and lost functions of the eyelid. The results of the study showed that it is possible to use the combined surgical intervention with simultaneous use of allogeneic grafts and automucous membrane of lip for complex cases of eyelids entropion.

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