%0 Journal Article
%T Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid
%A Sawsan A Shalaby
%J The Egyptian Journal Of Hospital Medicine
%D 2011
%I Pan Arab League of Continuous Medical Education
%X Purpose: To evaluate the efficacy of the Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid. Patients and methods: Nineteen patients (24 upper lids) with severe cicatricial entropion, trichiasis, and tarsal shortening were included in this study. Previous Snellen's operation was recorded in 6 patients (8 eyelids). All cases underwent anterior lamellar recession and wies procedure. Results: No residual entropion (no lash-cornea touch) was recorded in all lids (100%). All cases developed postoperative edema that subsided gradually within one week. Over correction occurred in 2 lids (8.3%), and three eyelids developed infection (12.5%), which healed in few days after antibiotic therapy. The mean follow up was 9 months (range; 6 to12 months). Conclusion: Wies procedure combined with anterior lamellar recession in the management of cicatricial entropion of the upper eyelid are effective especially for recurrent cases and short tarsus; no lid shortening developed postoperatively, and gave cosmetically accepted results.
%K anterior lamellar recession
%K cicatricial entropion
%K upper eyelid
%U http://egyptianjournal.net78.net/42_10.pdf