Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid

ABSTRACT

To evaluate the efficacy of the Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid. Nineteen patients [24 upper lids] with severe cicatricial entropion, trichiasis, and tarsal shortening were included in this study. Previous Snellen's operation was recorded in 6 patients [8 eyelids]. All cases underwent anterior lamellar recession and wies procedure. No residual entropion [no lash-cornea touch] was recorded in all lids [100%]. All cases developed postoperative edema that subsided gradually within one week. Over correction occurred in 2 lids [8.3%], and three eyelids developed infection [12.5%], which healed in few days after antibiotic therapy. The mean follow up was 9 months [range; 6 to12 months]. Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid are effective especially for recurrent cases and short tarsus; no lid shortening developed postoperatively, and gave cosmetically accepted results: