SURGERY FOR LOWER LID SENILE ECTROPION

LATERAL TARSAL STRIP VERSUS FULL THICKNESS PENTAGONAL RESECTION

Abstract

Objectives: To compare the results of lateral tarsal strip procedure with full
thickness pentagonal lid resection in the correction of involutional ectropion. Material and Method: A retrospective
study of 102 patients who underwent surgery for senile ectropion of lower lid. All the patients underwent either lateral
tarsal strip operation or full thickness pentagonal resection. On the basis of signs and site of ectropion, the patients
were divided into three main groups; 1) Medial ectropion, 2) General ectropion and 3) ectropion with chronic lid margin
changes. Success was defined as relief of symptoms and good lid position. Results: 69% of patients had lateral tarsal
strip and 31% of patients had full thickness pentagon resection. Overall success was achieved in 90% patients who
underwent lateral strip operation and in 91% patients with full thickness pentagonal lid resection. In patients with medial
ectropion the success rate was 87% in lateral tarsal strip procedure compared to 96% with full thickness lid resection.
In general ectropion group, the success rate was 92.5% with lateral tarsal strip and 80% with full thickness lid resection.
In patients with secondary lid margin changes the success rate was 74% in lateral tarsal strip procedure compared to
87% with full thickness pentagon resection. Conclusion: Both lateral tarsal strip and pentagon resection are effective
in the treatment of senile lower lid ectropion,