ABSTRACT
OBJECTIVE: To propose a new surgical technique as an alternative method for the correction of segmental trichiasis and distichiasis. MATERIAL AND METHOD: An interventional case series reviewed the segmental trichiasis and distichiasis patients who were treated with folliculectomy in the Ophthalmology Department, King Chulalongkorn Memorial Hospital. The data was collected from January 1997 to December 2002. The history, clinical features and treatments were reviewed. Patients with the initial diagnosis of entropion were excluded. RESULTS: Nine segmental trichiasis and distichiasis patients (13 eyes) were reviewed. Eight eyes underwent folliculectomy and one had folliculectomy with anterior lamellar recession. The follow-up time was 1-24 months. Nine of thirteen eyes (69.2%) were successfully treated with folliculectomy or folliculectomy with anterior lamellar recession. Four eyes needed second operations due to the recurrence of the eyelashes. CONCLUSION: Folliculectomy revealed good results in trichiasis and distichiasis. It should be considered as an alternative technique because it is a simple and fast procedure.
Subject(s)
Adult , Aged , Eyelashes/abnormalities , Eyelids/surgery , Female , Hair Follicle/surgery , Humans , Male , Middle Aged , ReoperationABSTRACT
La triquiasis es una orientación anómala interna adquirida de una o más pestañas, que puede producir, en casos severos, úlceras de córnea. A menudo se le asocia con tracoma y blefaritis crónica estafilocóccica o posterior a cirugías oftalmológicas. El tratamiento de la enfermedad es difícil, pero existen varias opciones disponibles: la cirugía convencional (blefaroplastia) o la depilación simple o por diferentes métodos: electrodepilación, radiofrecuencia, Láser Argón y criocirugía. Presentamos un trabajo donde se utilizó la criocirugía como tratamiento para diez casos de triquiasis, con excelentes resultados
Subject(s)
Humans , Male , Adult , Female , Child , Conditioning, Eyelid , Cryosurgery , Pemphigoid, Benign Mucous Membrane , Eyelashes/abnormalities , Trachoma , Dermatology , Ophthalmology , VenezuelaABSTRACT
To evaluate the use of amniotic membrane transplantation [AMT] for management of congenital distichiasis. This interventional case series was performed on 16 eyelids of 5 patients with congenital distichiasis treated with posterior lamella resection and AMT. All patients were men aged 2 to 42 years. Mean follow up was 17 months [6-29months]. Post-operative symptoms of dry eye were controlled by medical treatment in all patients. Misdirected eyelashes recurred in 3 eyelids [18.8%] outside the AMT area and in 2 eyelids within the AMT area which were treated by gentle laser epilation. AMT is a useful option in management of distichiasis with a low rate of complications and acceptable eyelid contour
Subject(s)
Humans , Male , Eyelashes/transplantation , Eyelashes/abnormalities , Surgical Procedures, Operative , Recurrence , Amnion/transplantationABSTRACT
Se presentan dos familias diferentes con el síndrome Distiquiasis-Linfedema. En ambas era evidente la herencia autosómica dominante del síndrome, con múltiples varones y hembras afectadas. Esta condición puede confundirse con los síndromes Turner y Noonan en el período prepuberal. La Consejería Genética es importante ya que la enfermedad es muy incapacitante y erróneamente puede ofrecerse un diagnóstico futuro de esterilidad a las hembras afectadas. Ptosis, pterigio colli, linfedema, paladar hendido y una inserción baja del cabello en la nuca confunden el fenotipo. Una historia anterior de irritación de la córnea, fotofobia, y la necesidad de estraer las pestañas puede ser clave del diagnóstico. Es necesario un seguimiento cercano para detectar las complicaciones asociadas. Consejería y ayuda a estas familias es nuestra contribución como clínicos para disminuir la carga que esta enfermedad conlleva