Tarsal Margin Rotation with Blepharoplasty to Correct Cicatricial Entropion of The Upper Eyelid

PURPOSE: To report the efficacy of tarsal marginal rotation with blepharoplasty in the management of cicatricial entropion of the upper eyelid. METHODS: In 9 consecutive patients, 14 eyelids with moderate cicatricial entropion of the upper eyelid were enrolled in this study. All 14 eyelids underwent tarsal margin rotation with blepharoplasty. In cases where one eyelid was involved, the fellow eyelid underwent upperlid blepharoplasty at the same time. The mean follow-up period was 17.7 months (range, 11 to 53 months). RESULTS: In all 14 upper eyelids, the eyelashes rotated away from the surface of the eye postoperatively. There was not recurrence in 13 eyelids and the effect of correction was maintained for the follow-up period. However, in one eyelid the cicatricial entropion recurred after months. Tarsal margin rotation was repeated and there was no recurrence for 6 months. CONCLUSIONS: Tarsal margin rotation with blepharoplasty appears to be effective in managing cicatricial entropion of the upper eyelid in both functional and cosmetic aspects.

Subconjunctival Sparganosis

PURPOSE: The subconjunctival sparganosis is rare tissue helminthiasis which developed frequently in abdominal, urethral, ureteral and vertebral cases. Authors report a case of sparganosis in the subconjunctival mass. METHODS: A 51-year-old man with reddish non painful mass in his left eye on the subconjunctiva that was unresponsive to medications for 6months was evaluated and treated surgically. On surgical exploration, a white thread-like plerocercoid 0.2 x 4.7 cm in size was extracted from the subconjunctival mass and actively motile in the bottle filled with saline. It was confirmed as a typical sparganum under histologic examination. Three months after surgery, the lesion disappeared completely. RESULTS: Although rare, parasitic disease should be suspected in a palpable subconjuntival mass unresponsive to the medical treatment.