Oral abstract presentation times

Purpose

Entropion is inward rotation of the eyelid margin. It is one of the most common lid malposition.There are four types of entropion: involutional, cicatricial, conjenital and spastic. The pathophysiology of each of these types is different and the surgical methods used are also different. In this study, we evaluated the long-term (at least 6 months) results of patients with cicatricial entropion. Our aim was to evaluate the long-term results in patients with cicatricial upper or lower eyelid entropion.

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Methods

The study included 60 eyelids of 44 patients who underwent advanced anterior lamellar recession surgery for cicatricial entropion between 2014 and 2024 at Akdeniz University Hospital. Patients underwent advanced anterior lamella recession (Three sutures were placed 3-4 mm inferior to the tarsus in the lower eyelid and 3-4 mm superior to the tarsus in the upper eyelid.) with gray line splitting technique in the entropion eyelid.

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Results

The mean age of the patients was 68.81 ± 16.10(27-98) years. 17 of the patients were male and 27 were female. The mean follow-up period was 28.13 months. Of 44 patients, 7 had mucous membrane pemphigoid, 4 had drug-associated pseudopemphigoid, 2 had Steven Johnson Syndrome, 1 had eriythema multiforme and 1 had atopic dermatitis. 2 patients had trauma-related and 2 patients had iatrogenic cicatricial entropion secondary to surgery. Eight(13%) of 60 eyelids showed recurrence in long-term results. Surgical success was achieved in 87% of patients.

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Conclusion

Advanced anterior lamellar recession surgery has a high success rate in patients with cicatrizing entropion accompanied by cicatrizing conjunctiva without intervention of the tarsal or bulbar conjunctiva.

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Additional Authors

First name	Last name	Base Hospital / Institution
Tuçe	Delice
Hatice Deniz	İlhan

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