September 2016
Volume 57, Issue 12
Open Access
ARVO Annual Meeting Abstract  |   September 2016

Decreased Intraocular Pressure after Tarsal Strip for Ectropion Repair
Author Affiliations & Notes
  • Chad Kaplan
    Ophthalmology, Columbia University, New York, New York, United States
  • Timothy Nees
    Ophthalmology, Columbia University, New York, New York, United States
  • Larissa Ghadiali
    Ophthalmology, Columbia University, New York, New York, United States
  • Dana Blumberg
    Ophthalmology, Columbia University, New York, New York, United States
  • Lama Al-Aswad
    Ophthalmology, Columbia University, New York, New York, United States
  • George A Cioffi
    Ophthalmology, Columbia University, New York, New York, United States
  • C Gustavo De Moraes
    Ophthalmology, Columbia University, New York, New York, United States
  • Bryan Winn
    Ophthalmology, Columbia University, New York, New York, United States
  • Jeffrey M Liebmann
    Ophthalmology, Columbia University, New York, New York, United States
  • Footnotes
    Commercial Relationships   Chad Kaplan, None; Timothy Nees, None; Larissa Ghadiali, None; Dana Blumberg, None; Lama Al-Aswad, None; George Cioffi, None; C Gustavo De Moraes, None; Bryan Winn, None; Jeffrey Liebmann, None
  • Footnotes
    Support  none
Investigative Ophthalmology & Visual Science September 2016, Vol.57, 3545. doi:
  • Views
  • Share
  • Tools
    • Alerts
      ×
      This feature is available to Subscribers Only
      Sign In or Create an Account ×
    • Get Citation

      Chad Kaplan, Timothy Nees, Larissa Ghadiali, Dana Blumberg, Lama Al-Aswad, George A Cioffi, C Gustavo De Moraes, Bryan Winn, Jeffrey M Liebmann;
      Decreased Intraocular Pressure after Tarsal Strip for Ectropion Repair. Invest. Ophthalmol. Vis. Sci. 2016;57(12):3545.

      Download citation file:


      © ARVO (1962-2015); The Authors (2016-present)

      ×
  • Supplements
Abstract

Purpose :
Blinking and lid anatomy have been reported to affect intraocular anatomy and intraocular pressure (IOP).(1,2,3) We hypothesized that a lax lower lid decreases lid-related IOP fluctuation and aqueous movement during blinking which may impact trabecular function. This study seeks to determine the effect of ectropion repair by tarsal strip on IOP.

Methods : In this retrospective study, we enrolled patients who underwent a single tarsal strip procedure from 2010-2015 by a single surgeon with at least 2 pre- and 2 post-operative IOP measurements. Exclusion criteria included a history of glaucoma treatment, posterior segment surgery, complex lid surgery, and repeat lid surgery within 1 year. Pseudophakic patients were included, although IOP measurements within three months of cataract surgery were excluded. If the cataract surgery was after the tarsal strip procedure, all IOP data after the date of the cataract surgery were excluded. Pre-and postoperative IOP measurements were compared.

Results : 49 eyes from 28 patients were enrolled (12 men, 16 women; mean age 78.7 ± 9.2 years). Mean IOP before and after tarsal strip surgery was 15.1 ± 2.2 vs. 13.8 ± 2.1 mm Hg, respectively (P< 0.001, 95% CI: -1.89 to -0.81; Mixed-effects linear model). Average IOP reduction was 8.6% (range -36.2% to +15.3%).

Conclusions : IOP was reduced following tarsal strip repair for lower lid ectropion, suggesting that lid laxity may have an adverse effect on aqueous outflow. Further investigation is warranted to assess the relationships between lid laxity, aqueous movement, blinking, and glaucoma risk. Maintenance of normal lid position and function may be important for IOP regulation.
1. IOP Reduction in Tarsal Strip Procedure
Kaplan C, Grover S, Chalam KV
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 151. ARVO Poster 2014
2. Direct-Recorded Intraocular Pressure Variations in a Human Subject
Coleman DJ, Trokel S
Arch Ophthalmol. 1969;82(5):637-640.
3. Tight orbit syndrome: a previously unrecognized cause of open-angle glaucoma.
Lee GA, Ritch R, Liang SY, Liebmann JM, Dubois P, Bastian-Jordan M, et al.
Acta Ophthalmol. 2010;88:120–4

This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.

×
×

This PDF is available to Subscribers Only

Sign in or purchase a subscription to access this content. ×

You must be signed into an individual account to use this feature.

×