ANTERIOR LAMELLAR REPOSITION WITH WEDGE RESECTION VERSUS ANTERIOR LAMELLAR REPOSITION IN THE TREATMENT OF MILD ENTROPION ASSOCIATED WITH TRICHIASIS

Abstract

To compare the efficacy of anterior lamellar reposition combined with wedge resection versus anterior lamellar
reposition in the treatment of mild upper lid entropion associated with trichiasis. Forty four eyelids of 32
patients suffering from upper eyelid mild entropion associated with trichiasis were randomly allocated to
undergo either anterior lamellar reposition with wedge resection (Group A= 21 lids) or anterior lamellar
reposition only (Group B= 23 lids). The two procedures were compared for improvement of symptoms, rate and
type of complications, failure, and recurrence. There were 18 males and 14 females with age ranging from
47 to 68 years. The two procedures were comparable in anatomical correction and rate of complications (p =
0.56). Recurrence occurs in two cases (9.5%) in group (A) and in one case (4.3%) in group (B). (P=0.7).This
study suggests that anterior lamellar reposition only can correct cases of mild upper lid entropion associated with
trichiasis and its results are comparable with anterior lamellar reposition with wedge resection.