Lateral Tarsal Strip Procedure for Right Lower Eyelid Ectropion
John Lee, MD
Boston Vision
Ectropion is a common eyelid malposition characterized by outward turning of the eyelid margin, resulting in conjunctival exposure, epiphora, and potential corneal damage. The most common form of ectropion that needs surgical intervention affects elderly patients through horizontal eyelid laxity. This video article demonstrates the lateral tarsal strip (LTS) procedure, which corrects horizontal eyelid laxity by repositioning and reinforcing the lower eyelid, resulting in durable outcomes with minimal postoperative discomfort and low recurrence rates. The LTS procedure stands as the preferred surgical method for treating involutional ectropion because of its straightforward technique and excellent outcomes.
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.
Blepharoplasty for Bilateral Upper Eyelids
Lilit Arzumanian, MD1; Alexander Martin, OD2; John Lee, MD2
1Vardanants Center for Innovative Medicine
2Boston Vision
Upper blepharoplasty is one of the most commonly performed oculoplastic procedures. It is aimed at correcting the involutional changes of the upper eyelids, characterized by loose, excess eyelid skin (dermatochalasis) and preaponeurotic fat herniation (steatoblepharon) as well as some cases of ptosis. These conditions could result in functional symptoms, such as reduced visual fields, as well as cosmetic concerns and perceived body dysmorphia.
In this case, the patient underwent upper blepharoplasty for cosmetic improvement and to remove xanthomatous lesions. This article discusses and demonstrates the preoperative assessment of the patient, the preparation, the surgical technique, and possible complications.
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