A 5-year retrospective review of Asian ectropion: how does it compare to ectropion amongst non-Asians?
Annals of the Academy of Medicine, Singapore
; : 84-89, 2011.
Article
em En
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| ID: wpr-237341
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ABSTRACT
<p><b>INTRODUCTION</b>This study reviews the differences in demographics and surgical outcomes between ectropion in Asian and non-Asian eyes.</p><p><b>MATERIALS AND METHODS</b>Medical records of surgically corrected ectropion cases from January 2002 to December 2006 were reviewed. Preand postoperative lid-globe apposition was graded: grade 0 with normal lid-globe apposition, grade 1 with punctal ectropion, grade 2 with partial lid eversion and scleral show, grade 3 with conjunctival hyperemia and thickening and grade 4 as for grade 3 with exposure keratitis.</p><p><b>RESULTS</b>Sixty-nine eyes in 50 patients underwent surgical correction of lower lid ectropion, making up 3.3% of all lid procedures performed. Eighty-four percent of patients were above 50 years of age, 72% were males and 88% were Chinese. Involutional change was the commonest aetiology, accounting for the majority of bilateral cases. The mean duration to surgery was 10.0 ± 16.0 months. The most frequent preoperative severity grade was 2. Lateral tarsal strip (LTS) was the commonest procedure performed, comprising 91.3% of eyes. The mean duration of postoperative review was 19.4 ± 19.2 months (range, 1 to 74 months). Postoperative improvement of at least one grade was observed in 98% while normal lid-globe apposition was achieved in 76% of eyes.</p><p><b>CONCLUSIONS</b>Involutional change is the most common cause of ectropion amongst both Asians and non-Asians. Ectropion is less prevalent amongst Asians as a result of anatomical differences and possibly reduced sun exposure. The LTS procedure is the most commonly performed surgical procedure for the successful correction of ectropion in both Asians and non-Asians.</p>
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Assunto principal:
Período Pós-Operatório
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Cirurgia Geral
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Fatores de Tempo
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Cuidados Pré-Operatórios
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Estudos Retrospectivos
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Blefaroplastia
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Povo Asiático
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Ectrópio
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Pálpebras
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Métodos
Tipo de estudo:
Observational_studies
Limite:
Adolescent
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Adult
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Aged
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Aged80
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Child
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Child, preschool
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Female
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Humans
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Infant
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Male
Idioma:
En
Revista:
Annals of the Academy of Medicine, Singapore
Ano de publicação:
2011
Tipo de documento:
Article