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Lucieni Cristina Barbarini Ferraz, Roberta Lilian Fernandes de Sousa Meneghim, Alicia Galindo, Ana Claudia Wanzeler, Michelli Saruwatari, Larissa Satto, Carlos Roberto Padovani, Silvana Artioli Schellini; Outcomes of two surgical techniques for major trichiasis. Invest. Ophthalmol. Vis. Sci. 2016;57(12):700.
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© ARVO (1962-2015); The Authors (2016-present)
To analyze the patient outcomes of two surgical techniques for major trichiasis.
A retrospective chart review was performed of 67 patients (89 eyelids) with major trichiasis who underwent surgical treatment using one of two techniques: Van Millingen (intermarginal split with graft; ISG group) technique or lid anterior lamella resection (ALR group). There were 30 eyelids in the ISG group with mean patient age of 71.8 years and 63.3% were females. There were 59 eyelids in the ALR group with mean patient age of 72.5 years and 52.5% were female. The minimum postoperative follow up was 6 months. Statistical analysis included descriptive measures, Goodman association test for contrasts between and within multinomial populations and non-parametric Mann Whitney test for comparison between groups. P<0.05 was considered statistically significant.
The underlying causes of trichiasis were, blepharitis (37.07%), chronic meibomitis (21.3%), multiple causes (20.2%), ectropion (11.2%), actinic keratosis (6.7%) or prior ocular surgery (3.3%). Postoperatively, in the ISG group, there were 20% eyelids with complete success, 50% underwent laser or electrolysis, 16.7% required further surgery and 13.3% were unsuccessful. Postoperatively, in the ALR group there were 47.5% eyelids with complete success, 46.7% underwent laser or electrolysis, 6.8% required further surgery and 5.1% were unsuccessful. There was a higher statistical chance of complete success with ALR (P<0.05).
ALR is superior than ISG surgery for major trichiasis. There is a greater chance of success with ALR and it is technically simpler.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.
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