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- 저자 : ( Bahtinur Buttanri ) (검색결과 1 건)
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The Efficacy of the Combined Procedure in Involutional Entropion Surgery: A Comparative Study
Didem Serin,Ibrahim Bulent Buttanri,Safak Karslioglu,Mehmet Sahin Sevim,Bahtinur Buttanri,Muslime Akbaba 대한안과학회 2013 Korean Journal of Ophthalmology Vol.27 No.6
Purpose: To evaluate the efficacy of the combined procedure in the management of involutional entropion. Methods: In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsalstrip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropionand compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteriaincluded previous lower eyelid surgery and follow-up of less than 6 months. Results: No patients demonstrated entropion on the first postoperative day. The mean follow-up period was18.4 months (6 to 52 months) in the Wies group and 22.6 months (6 to 59 months) in the combined proceduregroup. During the follow-up period, 9 of 31 eyes in the Wies group presented with recurrence and only 1 of 45eyes in the combined procedure group presented with recurrence (p = 0.001). The average time of recurrencewas 4.8 months in the Wies group. Recurrence occurred at 2 months postoperatively in the patient in the combinedprocedure group. Six of the 9 recurrences in the Wies group were managed by the combined procedure. None of these patients had further recurrence after correction. Three patients complained about a visibleincision line after the Wies procedure. Conclusions: The combined procedure seems to be more effective than the Wies procedure in the managementof involutional entropion. The combined procedure addresses the three major causative factors in involutionalentropion and makes it possible to perform the surgery using a small incision.
KCI
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