Modified Grey Line Split with Anterior Lamellar Repositioning for Upper Lid Trichiasis

Paichit Pongnumkul, M.D.

ABSTRACT :

Objective : This retrospective study analyses the post-operative results of the surgical procedure for upper lid trichiasis. Surgical technique : Most of the cases were operated on by segmental lid splitting at the grey line, and covering the extent of all trichiatic lashes. Then, the anterior lamella was shifted upward and fixed against the posterior lamella with full-thickness mattress suture(s). Patients and

Methods : Eighteen eyelids of 15 patients were performed the described operation in Rajavithi hospital during November 4, 1998 and June 25, 2003. The results revealed that four (26.67%) of 15 cases were male, the mean age was 63.13 years, and the average follow-up time was 144 days. The procedure was successful in 14 of 18 eyelids (77.77%), with success being defined as no lashes touching the globe. The main causes of failure were surgical technique (11.11%) and the linkage of the control of the underlying etiology (11.11%).

Conclusion : This lid split procedure for correction of upper lid trichiasis is simple, free of complication and provides good functioning and cosmetic results.

Thai J Ophthalmol 2003 ; July-December 17 (2) : 153-161.

Key words : Upper lid trichiasis, Segmental lid split operation.