Lateral tarsal strip











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Four additional patients in the group who had a medial spindle had recurrence of ectropion, three of whom underwent redo operations all successful. Procedure selection was based on pre-operative clinical examination, especially the lateral pinch and twist test this is described. IQR, interquartile range. The details of this technique have been published by Nowinski and Anderson. The tarsal strip procedure. Table 5 shows the complications that occurred in both groups.

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The Lateral Tarsal Strip Mini

Published online Mar 9. Although a significant proportion of patients suffered complications, most of these did not require further treatment. The correction of involutional entropion of eyelid by lateral strip procedure. LTS, lateral tarsal strip. MS, medial spindle.

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The advantages of lateral tarsal strip procedure

Baseline characteristics were compared between treatment groups using Fisher's Exact test for categorical variables and the Wilcoxon rank-sum test for continuous variables because of marked departure from normality. Moreover, our anecdotal experience suggests that patients in whom punctal positioning is not fully corrected still achieve adequate drainage of tears. Patients who had undergone lower lid surgery in the past were included as long as they had not had a prior LTS. Punctum reaches midpoint plica to medial limbus.

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Description: Everting sutures are often performed in combination with LSP for better correction of the inward rotation of eyelid margin. We verified if these outcomes compared favourably with those of the patients who had undergone an LTS with medial spindle. Although it cannot be concluded that performing LTS alone leads to the same result as performing LTS with a medial spindle, as we did not intend to compare these two groups directly, our study has demonstrated the efficacy of LTS as a standalone procedure and has shown that it produces comparable outcomes to a very similar group of patients undergoing LTS with medial spindle. In conclusion, this study has determined that the LTS alone is effective in a large subset of patients undergoing surgery for involutional ectropion. We verified whether the outcomes in patients undergoing LTS alone compared favourably with those of patients who had LTS plus medial spindle, keeping in mind these were groups with differing pinch and twist test results at baseline. Four additional patients in the group who had a medial spindle had recurrence of ectropion, three of whom underwent redo operations all successful. Ache at the lateral canthus is often noticed for a few weeks post-operatively.
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