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SAE MI LEE, Hee Bae Ahn, Woo C Park, Woo Jin Jung, Yoon Hyung Kwon, Sang Wook Jin, Nam Yeong Kim; Buccal mucous membrane grafting for intractable cicatricial entropion. Invest. Ophthalmol. Vis. Sci. 2019;60(9):6234.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the utility of anterior lamellar recession or posterior lamellar resection with buccal mucous membrane grafting for treatment of intractable cicatricial entropion.
A retrospective chart review was performed of all cases of anterior lamellar recession or posterior lamellar resection with buccal mucous membrane grafting for intractable cicatricial entropion or trichiasis of the upper or lower eyelids. It performed by one surgeon from January 2008 to October 2018. The height and width of each graft was measured during operation and after 6month. The amount of contraction was measured for each graft.
43 eyelids underwent anterior lamellar recession, 6 eyelids underwent posterior lamellar resection. Buccal mucosal was grafted to all patients. 32 eyelids ( 27 upper lids, 22 lower lids) were identified in 32 patients. The patients’ mean age was 58.3 years, the mean disease period was 67.7 months, 11 Patients had other entropion correction surgery before. The mean follow-up period was 46.7 months. One eyelid underwent re-grafting for graft failure. Patient’s discomfort, foreign body sensation, tearing and pain were relieved after surgery in 49 eyelids. Recurrent entropions were managed by electrolysis or cilia epilation in 4 eyelids.
Buccal mucous membrane grafting with anterior lamellar recession or posterior lamellar resection in patients with intractable cicatricial entropion is a simple and cosmetically effective procedure without complications.
This abstract was presented at the 2019 ARVO Annual Meeting, held in Vancouver, Canada, April 28 - May 2, 2019.
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