Abstract
Objective
To report the efficacy of skin-redraping epicanthoplasty combined with the modified
Hotz procedure for the management of recurrent trichiasis in adults caused by congenital
entropion.
Methods
A retrospective chart review of nine recurrent trichiasis patients caused by congenital
entropion was performed. All the patients were adults, and the follow-up period lasted
more than 6 months. Success was defined as no recurrence of the trichiasis.
Results
The mean age of the patients was 22.7 ± 2.83 years, and the mean period of follow-up
was 10.8 ± 4.15 months. The complete correction of trichiasis was observed in all
patients, and there was no recurrence during the follow-up period. The ratio of the
medial sclera area to the cornea area was enhanced from 0.25 ± 0.08 to 0.37 ± 0.11.
Preoperatively, five patients were categorized as grade 2, and four patients were
categorized as grade 3 of the Taylor classification, and all the patients were categorized
as grade 0 after surgery. The preoperative severity of keratopathy was grade 3 in
six patients and grade 2 in three patients. The preoperative lower lid horizontal
skin fold heights were class 4 in six patients and class 3 in three patients. All
the patients were grade 0 and class 1 after surgery.
Conclusion
Skin-redraping epicanthoplasty combined with the modified Hotz procedure is reasonably
successful in managing recurrent trichiasis in adults.
Keywords
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Article info
Publication history
Published online: October 03, 2022
Accepted:
September 23,
2022
Received:
March 25,
2022
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2022 Published by Elsevier Ltd on behalf of British Association of Plastic, Reconstructive and Aesthetic Surgeons.
