Simplified technique for lateral canthal tendon canthopexy

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dc.contributor.authorQureshi, Zainen_US
dc.contributor.authorBernard, Alecen_US
dc.contributor.authorGrisolia, Ana Beatriz Den_US
dc.contributor.authorJaru-Ampornpan, Pimkwanen_US
dc.contributor.authorOzgonul, Cemen_US
dc.contributor.authorDemirci, Hakanen_US
dc.date.accessioned2023-08-25T06:34:29Z
dc.date.available2023-08-25T06:34:29Z
dc.date.issued2022-09
dc.description.abstractPurpose: Different techniques for lateral canthal suspension have been used in the management of various eyelid malpositions. We describe a simplified technique for lateral canthal suspension and review its outcome along with a review of existing variations. Methods: We conducted a retrospective chart review of 28 eyelids in 22 patients who underwent simplified lateral canthal suspension. Demographics, symptoms at presentation, and associated eyelid malposition were noted. We evaluated the palpebral fissure and margin?reflex distance 2 (MRD2) on the preoperative and final postoperative photographs by using MEEI FACE?gram software. We also reviewed existing literature on different surgical management options for comparison. Results: At three?month postoperative follow?up, presenting symptoms resolved in all cases. The average postoperative decease in palpebral fissure was 0.73 mm (P = 0.018) and the average decrease of the MRD2 was 1.02 mm (P = 0.0003). Recurrence occurred by three months in one eyelid (4%) with ectropion due to moderate eyelid laxity, and this case was managed with tarsal strip procedure. One patient (5%) who had bilateral surgery had asymmetric lower eyelid position and one patient (5%) had persistent edema of the operated eyelid for six months. Conclusion: This simplified canthal suspension is a simple and effective technique that tightens the lateral canthal tendon and improves the lower eyelid position. It can be used in various mild?to?moderate eyelid laxities and has favorable operative characteristics compared with many existing techniquesen_US
dc.identifier.affiliationsSUNY Downstate Medical School, Brooklyn, NY, USAen_US
dc.identifier.affiliationsDepartment of Ophthalmology and Visual Sciences, Kellogg Eye Center, University of Michigan Medical School, Ann Arbor, MI, USAen_US
dc.identifier.affiliationsDepartment of Ophthalmology, Gulhane Training and Research Hospital, Ankara, Turkeyen_US
dc.identifier.citationQureshi Zain, Bernard Alec, Grisolia Ana Beatriz D, Jaru-Ampornpan Pimkwan, Ozgonul Cem, Demirci Hakan. Simplified technique for lateral canthal tendon canthopexy. Indian Journal of Ophthalmology. 2022 Sep; 70(9): 3403-3408en_US
dc.identifier.issn1998-3689
dc.identifier.issn0301-4738
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/224589
dc.languageenen_US
dc.publisherAll India Ophthalmological Societyen_US
dc.relation.issuenumber9en_US
dc.relation.volume70en_US
dc.source.urihttps://doi.org/10.4103/ijo.IJO_3126_21en_US
dc.subjectCanthopexyen_US
dc.subjectectropionen_US
dc.subjectentropionen_US
dc.subjecteyelid malpositionen_US
dc.subjectlateral cantonal tendonen_US
dc.subjectsurgical techniqueen_US
dc.titleSimplified technique for lateral canthal tendon canthopexyen_US
dc.typeJournal Articleen_US
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