Surgical Treatment Results of Lower Eyelid Ectropion

OBJECTIVE: We tried to evaluate the results of the patients that had inferior eye lid ectropium surgery.
METHODS: The records of 28 patients that had ectropium surgery in our clinic between August 2008 ve June 2011 were examined retrospectively. The age, gender, visual acuity before and after surgery and the grade of the ectropium were recorded. The performed surgical method, applied treatments after surgery and the complications due to surgery were all noted.
RESULTS: 28 patients that had ectropium surgery in Ankara Oncology Hospital Eye Clinic were included in the study. 18 of them were male, 10 of them were female. Average age was 63,2 years old and the distribution of the age was between 31 and 81years. The average follow up period of the patients were 14(7-22) months. The 10 of the 28 patients were operated from right inferior eye lid, 11 from left inferior eye lid and 7 from bilateral inferior eye lid.
The etiology of the ectropium includes respectively involutional, (n=17), scatrical (n=7) and mechanical(n=4) factors. Kuhnt-Szymanowski technique with Smith modification, vertical elongation(skin greft or local fleb) and combinated repair with mucosal greft and cheek or forehead fleb was performed respectively in involutional, scatrical and mechanical ectropium cases.

CONCLUSION: Ectropium surgery was performed especially for involutional reasons in our clinic. Kuhnt-Szymanowski technique with Smith modification was found more successful in involutional ectropium cases. Inferior eye lids are important functionally in protecting eye ball as well as esthetically in appearance so it is important not to forget to be sensitive in repairment of their deformities.

Alt Göz Kapaðý Ektropiyonunda Cerrahi Tedavi Sonuçlarýmýz

AMAÇ: Bu çalýþmada alt göz kapaðýna ektropiyon nedeniyle cerrahi tedavi uyguladýðýmýz hastalardaki sonuçlarýmýzý deðerlendirmek amaçlandý.
YÖNTEMLER: Aðustos 2008 ve Haziran 2011 yýllarý arasýnda kliniðimizde ektropiyon operasyonu uygulanmýþ 28 hastanýn kayýtlarý retrospektif olarak tarandý. Hastalarýn yaþý, cinsiyeti, cerrahi öncesi ve sonrasý görme keskinliði, ektropiyonun derecesi kaydedildi. Uygulanan cerrahi teknik, cerrahi sonrasý tedaviler ve cerrahiye baðlý oluþan komplikasyonlar not edildi.
BULGULAR: Çalýþmaya Ankara Onkoloji Hastanesi Göz Hastalýklarý Bölümünde ektropiyon cerrahisi uygulanmýþ 28 hasta alýndý. Bu hastalarýn 18’i erkek, 10’u kadýndý. Ortalama yaþ 63,2 yýl olup 31 ile 81 arasýnda yaþ daðýlýmý deðiþmekteydi. Hastalarýn ortalama takip süresi 14 (7–22) aydý. 28 Hastanýn 10'u sað alt göz kapaðý, 11'i sol alt göz kapaðý, 7'si bilateral alt göz kapaðýndan opere edildi. Ektropiyon etyolojisinde sýrasýyla involüsyonel (n=17), skatrisyel (n=7), mekanik (n=4) faktörler yer almaktaydý. Ýnvolüsyonel ektropiyon olgularýnda Kuhnt-Szymanowski tekniðinin Smith modifikasyonu, skatrisiyel ektropiyon olgularýnda vertikal uzatma (cilt grefti veya lokal fleple ile), mekanik ektropiyon olgularýmýzda ise mukozal greft ve yanak veya alýn rotasyon flebi ile kombine onarým yapýldý.
SONUÇ: Kliniðimizde ektropiyon cerrahisi genellikle involüsyonel sebeplerle uygulandý. Ýnvolüsyonel sebeplerle oluþan ektropiyon cerrhisinde Kuhnt-Szymanowski tekniðinin Smith modifikasyonu ile baþarý oranýnýn çok yüksek olduðu saptandý. Alt göz kapaklarý, fonksiyonel olarak göz küresini korumalarý yanýnda, estetik olarak da önemli yapýlardýr bu yüzden deformitelerinin onarýmlarý titiz bir çalýþmayý gerektirdiði unutulmamalýdýr.