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Dale R Meyer - One of the best experts on this subject based on the ideXlab platform.

  • manual provocation test for intermittent involutional Entropion
    Cornea, 2016
    Co-Authors: Rahul S. Tonk, Dale R Meyer
    Abstract:

    PURPOSE To describe the manual provocation test (MPT), a novel test for intermittent involutional Entropion of the lower eyelid. METHODS Retrospective review of patients with intermittent Entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who had no apparent Entropion at the time of initial consultation. Results of the MPT were recorded for this group, and then evaluated prospectively in an age-matched comparison group of patients presenting for blepharoplasty who had no history of Entropion. The essential steps of the MPT are as follows. Step 1: the lower eyelid skin is grasped below the inferior border of the tarsal plate. Step 2: the lid is drawn anteriorly as with the eyelid distraction test. Step 3: the patient is directed to forcefully close the eyelids. Step 4: the eyelid is released and the result is observed for manifest Entropion. RESULTS Thirteen eyelids in 12 patients with intermittent involutional lower eyelid Entropion were included in this study. Average patient age was 77.3 years (±9.5 SD). The MPT elicited Entropion in all 13 eyelids. Of the 12 patients, 9 elected to pursue surgery and, of these patients, all eyelids were successfully treated with subsequent improvement of symptoms. The MPT was thereafter negative in these patients. None of the 20 patients in the blepharoplasty comparison group (average age 71.6 years) demonstrated a positive MPT. CONCLUSIONS The MPT can be a valuable and straightforward test in the clinical evaluation of patients with a history of intermittent Entropion.

  • Manual Provocation Test for Intermittent Involutional Entropion.
    Cornea, 2016
    Co-Authors: Rahul S. Tonk, Dale R Meyer
    Abstract:

    To describe the manual provocation test (MPT), a novel test for intermittent involutional Entropion of the lower eyelid. Retrospective review of patients with intermittent Entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who had no apparent Entropion at the time of initial consultation. Results of the MPT were recorded for this group, and then evaluated prospectively in an age-matched comparison group of patients presenting for blepharoplasty who had no history of Entropion. The essential steps of the MPT are as follows. Step 1: the lower eyelid skin is grasped below the inferior border of the tarsal plate. Step 2: the lid is drawn anteriorly as with the eyelid distraction test. Step 3: the patient is directed to forcefully close the eyelids. Step 4: the eyelid is released and the result is observed for manifest Entropion. Thirteen eyelids in 12 patients with intermittent involutional lower eyelid Entropion were included in this study. Average patient age was 77.3 years (±9.5 SD). The MPT elicited Entropion in all 13 eyelids. Of the 12 patients, 9 elected to pursue surgery and, of these patients, all eyelids were successfully treated with subsequent improvement of symptoms. The MPT was thereafter negative in these patients. None of the 20 patients in the blepharoplasty comparison group (average age 71.6 years) demonstrated a positive MPT. The MPT can be a valuable and straightforward test in the clinical evaluation of patients with a history of intermittent Entropion.

  • transconjunctival lower eyelid involutional Entropion repair long term follow up and efficacy
    Ophthalmology, 2002
    Co-Authors: Shawn J Khan, Dale R Meyer
    Abstract:

    Abstract Objective To evaluate the safety and long-term efficacy of a modified transconjunctival involutional lower eyelid Entropion repair. Design Retrospective, noncomparative case series and survey. Participants Eighty-nine consecutive patients with involutional Entropion (114 eyelids). Methods Modified transconjunctival involutional lower eyelid Entropion repair technique was performed on 114 eyelids of 89 consecutive patients over a 7-year period. All cases had a minimum of 3 months of initial office follow-up, with extended follow-up obtained via standardized telephone interviews. Main outcome measures Surgical success and Entropion recurrence. Results Surgery was completed successfully with no complications in all 114 cases. All cases demonstrated correction of Entropion at the 3-month office follow-up. Long-term follow-up (mean, 38.3 months; range, 4–85 months) was obtained in 75% of cases. Recurrence was noted in only one patient (two eyelids [2%]). Conclusions Modified transconjunctival lower eyelid Entropion repair is a time-efficient, safe, and efficacious technique. In contrast to a recent report using another transconjunctival technique, we found a relatively low rate of recurrence on extended follow-up.

Igal Leibovitch - One of the best experts on this subject based on the ideXlab platform.

  • lateral wedge resection a simple technique for repairing involutional lower eyelid Entropion
    Dermatologic Surgery, 2010
    Co-Authors: Igal Leibovitch
    Abstract:

    BACKGROUND Lower lid involutional Entropion is a common eyelid pathology affecting the elderly population. Most of the reported surgical techniques are mainly based on a lateral tarsal strip anchored to the orbital rim. OBJECTIVES To report the surgical outcome using a simple single-stitch lateral wedge technique to repair involutional lower Entropion. METHODS This single-surgeon, retrospective, noncomparative cases series included all patients with involutional lower eyelid Entropion who were operated on using the lateral wedge technique. RESULTS Fifty-eight eyelids of 52 patients (46 unilateral, 6 bilateral; 27 men, 25 women; age, mean 67±10; range 50–85) underwent surgical repair. Immediate resolution of Entropion and associated ocular symptoms was achieved in 55 eyelids (94.9%). One case had postoperative ectropion that completely resolved spontaneously after 4 weeks, and one had wound dehiscence that healed completely without any intervention. Another patient had residual Entropion that resolved after an additional surgical repair. No other cases of recurrence were noted during a mean follow-up period of 16 months (range 6–24 months). CONCLUSION This minimally invasive single-stitch lateral wedge technique is a simple and effective procedure for repairing involutional lower eyelid Entropion and is associated with low recurrence and complication rates. Igal Leibovitch, MD, has indicated no significant interest with commercial supporters.

Isabel Elosua De Juan - One of the best experts on this subject based on the ideXlab platform.

Steven C. Dresner - One of the best experts on this subject based on the ideXlab platform.

  • Efficacy and complications of the transconjunctival Entropion repair for lower eyelid involutional Entropion.
    Ophthalmology, 2006
    Co-Authors: Melanie H. Erb, Nicolas Uzcategui, Steven C. Dresner
    Abstract:

    Purpose To evaluate the efficacy of the transconjunctival Entropion repair (TCER) for lower eyelid involutional Entropion. Design Retrospective, noncomparative, interventional case series. Participants One hundred fifty-one eyelids in 120 patients who underwent TCER for involutional Entropion over a 12-year period from February 1991 through January 2003. Methods Surgical technique addressed all 3 anatomic factors underlying the Entropion and was performed through a transconjunctival incision. Lateral tarsal strip procedure addressed horizontal eyelid laxity, lower eyelid retractor reinsertion addressed retractor disinsertion, and excision of a strip of the preseptal orbicularis oculi addressed preseptal orbicularis override. Main Outcome Measures Entropion resolution, Entropion recurrence, postoperative eyelid retraction, and complication rate. Results Transconjunctival Entropion repair resulted in resolution of Entropion, with a success rate of 96.7% (146 of 151 eyelids); Entropion recurrence rate was 3.3% (5 of 151 eyelids). No patient had postoperative eyelid retraction or scleral show, and there were no overcorrections or secondary ectropions in any of the 151 eyelids. Postoperative complications occurred in 6 of 151 eyelids (4.0%) of 6 of 120 patients (5.0%) and included stitch abscess (1 eyelid, 0.7%), lateral tarsal strip dehiscence (2 eyelids, 1.3%), lateral canthal dystopia (2 eyelids, 1.3%), and conjunctivochalasis (1 eyelid, 0.7%). Conclusions The transconjunctival lower eyelid Entropion repair is effective and safe with low recurrence and complication rates. The TCER circumvents the risk of lower eyelid retraction and overcorrections that may occur with the transcutaneous approach.

Rahul S. Tonk - One of the best experts on this subject based on the ideXlab platform.

  • manual provocation test for intermittent involutional Entropion
    Cornea, 2016
    Co-Authors: Rahul S. Tonk, Dale R Meyer
    Abstract:

    PURPOSE To describe the manual provocation test (MPT), a novel test for intermittent involutional Entropion of the lower eyelid. METHODS Retrospective review of patients with intermittent Entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who had no apparent Entropion at the time of initial consultation. Results of the MPT were recorded for this group, and then evaluated prospectively in an age-matched comparison group of patients presenting for blepharoplasty who had no history of Entropion. The essential steps of the MPT are as follows. Step 1: the lower eyelid skin is grasped below the inferior border of the tarsal plate. Step 2: the lid is drawn anteriorly as with the eyelid distraction test. Step 3: the patient is directed to forcefully close the eyelids. Step 4: the eyelid is released and the result is observed for manifest Entropion. RESULTS Thirteen eyelids in 12 patients with intermittent involutional lower eyelid Entropion were included in this study. Average patient age was 77.3 years (±9.5 SD). The MPT elicited Entropion in all 13 eyelids. Of the 12 patients, 9 elected to pursue surgery and, of these patients, all eyelids were successfully treated with subsequent improvement of symptoms. The MPT was thereafter negative in these patients. None of the 20 patients in the blepharoplasty comparison group (average age 71.6 years) demonstrated a positive MPT. CONCLUSIONS The MPT can be a valuable and straightforward test in the clinical evaluation of patients with a history of intermittent Entropion.

  • Manual Provocation Test for Intermittent Involutional Entropion.
    Cornea, 2016
    Co-Authors: Rahul S. Tonk, Dale R Meyer
    Abstract:

    To describe the manual provocation test (MPT), a novel test for intermittent involutional Entropion of the lower eyelid. Retrospective review of patients with intermittent Entropion who presented with ocular irritation and documented inward eyelid rotation by them or their referring physicians, but who had no apparent Entropion at the time of initial consultation. Results of the MPT were recorded for this group, and then evaluated prospectively in an age-matched comparison group of patients presenting for blepharoplasty who had no history of Entropion. The essential steps of the MPT are as follows. Step 1: the lower eyelid skin is grasped below the inferior border of the tarsal plate. Step 2: the lid is drawn anteriorly as with the eyelid distraction test. Step 3: the patient is directed to forcefully close the eyelids. Step 4: the eyelid is released and the result is observed for manifest Entropion. Thirteen eyelids in 12 patients with intermittent involutional lower eyelid Entropion were included in this study. Average patient age was 77.3 years (±9.5 SD). The MPT elicited Entropion in all 13 eyelids. Of the 12 patients, 9 elected to pursue surgery and, of these patients, all eyelids were successfully treated with subsequent improvement of symptoms. The MPT was thereafter negative in these patients. None of the 20 patients in the blepharoplasty comparison group (average age 71.6 years) demonstrated a positive MPT. The MPT can be a valuable and straightforward test in the clinical evaluation of patients with a history of intermittent Entropion.