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First Author: F.Nuhoglu TURKEY
Co Author(s): F. Esin Özdemir Y. Acar K. Eltutar
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To evaluate the results and activity of the modified technique of tarsoconjunctival diamond excision and horizontal shortening (Lazy-T) in patients with medial involutional ectropion.
Clinics of Ophthalmology, Istanbul Training and Research Hospital, Istanbul/Turkey
82 eyes of 59 patients who had modified Lazy-T operation to the lower lid .Who had suffered from epiphora were evaluated retrospectively. The ones who had cicatricial and paralytic ectropion, who had dacryostenosis and who had ectropion relapse and the cases whose follow-up period was shorter than 6 months were excluded from the study. Lower lid laxity and the laxity of the medial and lateral canthal tendons was evaluated in all patients preoperatively. Surgical application was carried out in the cases whose punctum eversion was 3mm or over. Surgical technique was accepted as successful in the patients who didnt have epiphora, in normal the space between the eyelid disappeared.
25 were female and 34 male of all patients . The mean age was 67.3 ḟ13.4 years. The mean follow-up period was 10.8 ±3.9 months. The success rate was 92.7% in the patients to whom we performed modified Lazy-T operation. Notch on the incision line in the eye lid contour was observed in 3 eyes. Horizontal shortening was reiterated in six eyes whose ectropion didnt reform well and success was achieved as a result
The modified Lazy-T technique we apply in the surgical treatment of medial senile ectropion is an effective method which has fewer complications. This technique can provide that more effective punctal eversion and less incision with advantage.