Modified lateral tarsal strip procedure in paralytic lower eyelid ectropion – a case report

Larysa Krajewska-Węglewicz; Anna Kurowska; Marta Banach; Ewa Filipiak; Joanna Sempińska-Szewczyk; Piotr Skopiński

doi:10.5114/ko.2019.86952

POLSKI

eISSN: 2719-3209
ISSN: 0023-2157

Klinika Oczna / Acta Ophthalmologica Polonica

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2/2019
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abstract:

Original paper

Modified lateral tarsal strip procedure in paralytic lower eyelid ectropion – a case report

Larysa Krajewska-Węglewicz

¹

,

Anna K. Kurowska

^{2, 3}

,

Marta Banach

^{4, 5}

,

Ewa Filipiak

¹

,

Joanna Sempińska-Szewczyk

¹

,

Piotr Skopiński

^{3, 6}

Oddział Okulistyki Centralnego Szpitala Klinicznego Ministerstwa Spraw Wewnętrznych i Administracji w Warszawie
Katedra i Klinika Okulistyki II Wydziału Lekarskiego Warszawskiego Uniwersytetu Medycznego
Samodzielny Publiczny Kliniczny Szpital Okulistyczny w Warszawie
Klinika Neurologii Centralnego Szpitala Klinicznego Ministerstwa Spraw Wewnętrznych i Administracji w Warszawie
Oddział Kliniczny Neurologii Szpitala Uniwersyteckiego w Krakowie
Katedra i Zakład Histologii i Embriologii Warszawskiego Uniwersytetu Medycznego

DOI: https://doi.org/10.5114/ko.2019.86952

Online publish date: 2019/10/04

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Paralytic lagophthalmos secondary to facial nerve palsy is a considerable functional and cosmetic issue. In advanced stages, it may lead to irreversible vision loss due to exposure keratopathy. However, there are various surgical methods available for the treatment of this condition. We present a case of an 81-year-old woman with a paralytic lower lid ectropion in the right eye, in whom a modified lateral tarsal strip procedure resulted in restoration of lid position, tension, and function, as well as a good aesthetic outcome. This method is widely used in the treatment of paralytic ectropion, both as a stand-alone procedure or in combination with other, more radical, methods. In case of treatment failure, the lateral tarsal strip procedure is not a contraindication to using other techniques. The procedure offers satisfactory aesthetic effects without visual field limitation, which remains crucial for many patients when deciding on the treatment modality.

keywords:

Modified lateral tarsal strip procedure in paralytic lower eyelid ectropion – a case report

Larysa Krajewska-Węglewicz 1 , Anna K. Kurowska 2, 3 , Marta Banach 4, 5 , Ewa Filipiak 1 , Joanna Sempińska-Szewczyk 1 , Piotr Skopiński 3, 6

paralytic ectropion, lateral tarsal strip, surgical methods

Larysa Krajewska-Węglewicz

¹

,

Anna K. Kurowska

^{2, 3}

,

Marta Banach

^{4, 5}

,

Ewa Filipiak

¹

,

Joanna Sempińska-Szewczyk

¹

,

Piotr Skopiński

^{3, 6}