Tag Archives: eyelid

Ophthalmology, Print Release

PUBLISHED: Lateral Tarsal Strip Procedure for Left Lower Eyelid Entropion

Lateral Tarsal Strip Procedure for Left Lower Eyelid Entropion
Lilit Arzumanian, MD1; Alexander Martin, OD2; John Lee, MD2
1Vardanants Center for Innovative Medicine
2Boston Vision

Lower lid entropion or inversion is a common involutional inward rotation of the tarsus and eyelid margin. It is caused by a combination of horizontal laxity of the eyelid, attenuation or disinsertion of eyelid retractors, and overriding of preseptal over pretarsal orbicularis muscle fibers. These changes result in the instability of the eyelid with age. The inverted eyelid leads to constant rubbing of eyelashes against the cornea and the globe, causing irritation, foreign body sensation, and in severe cases, corneal erosion, pannus formation, and ulceration. The lateral tarsal strip procedure is aimed at addressing the causes of entropion, thus correcting the eyelid position and improving its function. Upon successful surgical intervention, normal eyelid position and function are restored. Cosmesis of the eyelid also improves. This article will discuss the preoperative assessment of the patient, the preparation, the surgical procedure, and possible complications.

Ophthalmology, Print Release

PUBLISHED: Incision and Curettage on a Left Upper Eyelid Chalazion

Incision and Curettage on a Left Upper Eyelid Chalazion
Lilit Arzumanian, MD1; Alexander Martin, OD2; John Lee, MD2
1Vardanats Center for Innovative Medicine
2Boston Vision

A chalazion is a sterile granulomatous inflammation of the Meibomian or Zeiss glands. It results from the obstruction of gland orifices, which leads to accumulation of sebum in the tarsus and eyelid soft tissue. The resulting inflammation causes erythema, pain, and swelling. Patients may note a previous history of similar complaints, as well as a history of rosacea and chronic blepharitis.

Chalazion incision and curettage is a treatment of choice in unresolved chalazia or cases that do not respond to conservative treatments such as warm compress. Chalazion surgery aims to effectively drain the blocked gland and remove the inflamed tissue, providing relief to patients and restoring the natural appearance of the eyelid. This article discusses and demonstrates the preoperative assessment of the patient, the preparation, surgical procedure, and the postoperative care.