An alternative approach for involutional entropion: a preliminary study

Involutional entropion is an inward rotation of the eyelid margin because of increased horizontal lid laxity, an overriding preseptal orbicularis, atrophied lid retractors, and involutional enophthalmos. There are a myriad of surgical approaches to treat involutional entropion, but the medical co-morbidities that are common in this patient population often make a less-invasive method more appropriate. In this study, a novel and less-traumatic method was tested. Tissue shrinkage effect of the CO2 laser was used to create cicatricial changes to treat involutional entropion in five patients. Resurfacing was accomplished with the Ultra Pulse CO2 (carbon dioxide) laser (model UP 5005, Coherent Medical Group, Santa Clara, CA) by the help of computerized pattern generator (CPG) scanning device. The first pass was performed to the entire lower lid and periorbital area, sparing the subciliary region, using 200 mJ of energy. The second pass used the same energy level, but this time resurfacing was extended as close as the lash line. All four of the five patients available for follow-up clinical evaluation (interval between 5 and 21 months) had surgical success with no recurrence of entropion, or symptoms such as itching or irritation. One of the patients who never came back for routine was lost to follow-up. The ectropion was never seen in the long-term follow-up. This method is a suitable alternative for elderly patients with comorbid conditions that prevent them from having invasive surgical procedures.

Yazar Babuccu, Orhan
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/2037
Tek Biçim Adres 10.1007/s10103-011-1036-5
Konu Başlıkları Entropion
Laser resurfacing
Eyelid
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
PubMed İndeksli Yayınlar Koleksiyonu
WoS İndeksli Yayınlar Koleksiyonu
Dergi Adı LASERS IN MEDICAL SCIENCE
Dergi Cilt Bilgisi 27
Dergi Sayısı 5
Sayfalar 1009 - 1012
Yayın Yılı 2012
Eser Adı
[dc.title]
An alternative approach for involutional entropion: a preliminary study
Yazar
[dc.contributor.author]
Babuccu, Orhan
Yayın Yılı
[dc.date.issued]
2012
Yayıncı
[dc.publisher]
SPRINGER LONDON LTD
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Involutional entropion is an inward rotation of the eyelid margin because of increased horizontal lid laxity, an overriding preseptal orbicularis, atrophied lid retractors, and involutional enophthalmos. There are a myriad of surgical approaches to treat involutional entropion, but the medical co-morbidities that are common in this patient population often make a less-invasive method more appropriate. In this study, a novel and less-traumatic method was tested. Tissue shrinkage effect of the CO2 laser was used to create cicatricial changes to treat involutional entropion in five patients. Resurfacing was accomplished with the Ultra Pulse CO2 (carbon dioxide) laser (model UP 5005, Coherent Medical Group, Santa Clara, CA) by the help of computerized pattern generator (CPG) scanning device. The first pass was performed to the entire lower lid and periorbital area, sparing the subciliary region, using 200 mJ of energy. The second pass used the same energy level, but this time resurfacing was extended as close as the lash line. All four of the five patients available for follow-up clinical evaluation (interval between 5 and 21 months) had surgical success with no recurrence of entropion, or symptoms such as itching or irritation. One of the patients who never came back for routine was lost to follow-up. The ectropion was never seen in the long-term follow-up. This method is a suitable alternative for elderly patients with comorbid conditions that prevent them from having invasive surgical procedures.
Açıklama
[dc.description]
WOS: 000307406500016
Açıklama
[dc.description]
PubMed: 22167313
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Entropion
Konu Başlıkları
[dc.subject]
Laser resurfacing
Konu Başlıkları
[dc.subject]
Eyelid
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0268-8921
ISSN
[dc.identifier.issn]
1435-604X
İlk Sayfa Sayısı
[dc.identifier.startpage]
1009
Son Sayfa Sayısı
[dc.identifier.endpage]
1012
Dergi Adı
[dc.relation.journal]
LASERS IN MEDICAL SCIENCE
Dergi Sayısı
[dc.identifier.issue]
5
Dergi Cilt Bilgisi
[dc.identifier.volume]
27
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1007/s10103-011-1036-5
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/2037
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
9
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
05 Şubat 2024 19:06
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Tıklayınız
patients entropion involutional surgical method follow-up energy (interval evaluation clinical sparing subciliary region resurfacing available extended second Involutional between comorbid long-term suitable alternative elderly conditions prevent having invasive procedures ectropion routine months) success recurrence symptoms
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