Anterior Lamellar Recession vs Bilamellar Tarsal Rotation in Upper Lid Cicatricial Trichiasis

Al-Azhar University45 enrolled

Overview

in recent years there has been a significant shift from this destructive procedure to a reconstructive procedure such as Anterior Lamellar Recession (ALR) and Bilamellar Tarsal Rotation (BLTR).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Cicatricial Trichiasis

Interventions

Anterior Lamellar RecessionPROCEDURE

ALR is a common surgical treatment that splits the skin and orbicularis oculi muscle from the tarsus and conjunctiva to recede the anterior lamella and expose the tarsus. Interlamellar separation can be accomplished via a grey line technique, an eyelid crease approach, or a combination of the two

Bilamellar Tarsal RotationPROCEDURE

the full-thickness transverse blepharotomy combined with everting sutures to rotate the inferior portion of the upper lid outwards and this procedure has a low recurrence risk

Eligibility

Sex: ALLMin age: 48 YearsMax age: 59 Years

Medical Language ↔ Plain English

Inclusion Criteria: * patients with upper lid cicatricial trichiasis that requires surgical intervention Exclusion Criteria: * Refusal of the patients. * Associated entropion., 3) Severe ocular surface disease. * Previous eyelid surgery. * Associated lid laxity. * Lack of adequate follow-up

Locations (1)

Ehab tharwat

Damietta, New Damietta, Egypt

Outcomes

Primary Outcomes

lid correction

Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections)

Time frame: at 1 month post operative

lid correction

Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections)

Time frame: 3 months postoperative

lid correction

Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections)

Time frame: 6 months postoperative

Cosmetic Satisfaction

Its a subjective outcome that will be collected through an interview after the surgery.

Time frame: at 1 months post operative

Cosmetic Satisfaction

Its a subjective outcome that will be collected through an interview after the surgery.

Time frame: at 3 months post operative

Cosmetic Satisfaction

Its a subjective outcome that will be collected through an interview after the surgery.

Time frame: at 6 months post operative

Data from ClinicalTrials.gov

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