Clinical experiences in patients with ectropion surgery: the results from a territory hospitalMehmet Cubuk
Department of Ophthalmology, Adana City Training and Research Hospital, Adana, Turkey
International Medicine 2020; 2(2): 102-106 | DOI: 10.5455/im.102653 PDF
Background: This study aimed to present the clinical results of our patients who underwent ectropion surgery in our clinic and to compare the results with the literature data.
Methods: The records of the patients who underwent ectropion surgery in the Ophthalmology Clinic of Adana Numune Training and Research Hospital between June 2016 and December 2017 were evaluated retrospectively. Age, gender, surgical techniques (lateral tarsal strip (LTS), pentagonal resection, Z plasty or combined surgical techniques) and relapse rates were evaluated.
Results: Forty-seven eyes of 47 patients were included in the study. 16 (34.1%) of the patients were females and 31 (65.9%) were males. The mean postoperative follow-up was 16.55 ± 4.58 (12-26) months. The mean age of the cases was 64.49 ± 10.72 (42-82) years. The cases were most frequently operated for involutional ectropion (18 eyes, 38.3%). The second most common cause of operations was paralytic ectropion (13 eyes, 27.7%), third was cicatricial ectropion (10 eyes, 21.2%), and fourth was mechanical ectropion (6 eyes, 12.8%). 11 eyes (23.4%) underwent LTS, 5 eyes (10.6%) underwent LTS + Z plasty, 10 eyes (21.2%) underwent pentagonal resection and 21 eyes (44.6%) underwent combined surgeries (pentagonal resection + flap, resection + autografting, LTS + pentagonal resection). At the end of the follow-up period, ectropion recurrence developed in 8.4% (4 eyes) of the cases.
Conclusions:In our clinic, ectropion surgery was mostly performed for involutional reasons. Surgical methods appeared to be quite effective in the treatment of ectropion.
Keywords: ectropion, recurrence, surgery