The buccal plug: A technique for management of focal cicatricial entropion and trichiasis
Cicatricial entropion can be challenging to manage, and surgery may lead to anterior lamellar and focal lash loss or tarsal scarring. We describe a surgical technique to address focal cicatricial entropion that avoids conjunctival incisions and minimizes changes to the aesthetic contour of the eyeli...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2025-02-01
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| Series: | Indian Journal of Ophthalmology |
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| Online Access: | https://journals.lww.com/10.4103/IJO.IJO_3179_23 |
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| author | Persiana S Saffari Kelsey A Roelofs Daniel B Rootman |
| author_facet | Persiana S Saffari Kelsey A Roelofs Daniel B Rootman |
| author_sort | Persiana S Saffari |
| collection | DOAJ |
| description | Cicatricial entropion can be challenging to manage, and surgery may lead to anterior lamellar and focal lash loss or tarsal scarring. We describe a surgical technique to address focal cicatricial entropion that avoids conjunctival incisions and minimizes changes to the aesthetic contour of the eyelid. Four patients underwent surgery with a square portion of the posterior row of eyelash follicles being excised anterior to the tarsus. A buccal mucous membrane graft was then harvested and inserted between the lamella. The plug served to recreate a mucosal membrane at the posterior reflection of the eyelid and separate the anterior and posterior lamella mechanically. With a mean follow-up of 5.16 months, no patients experienced regrowth of lashes at the graft site, and corneal irritation from aberrant eyelashes was abated. The buccal plug technique provides an aesthetically minded, less invasive approach to surgical management of localized entropion with trichiasis. |
| format | Article |
| id | doaj-art-e726c9fa475d4440b6dd1faabe6e9dd9 |
| institution | Kabale University |
| issn | 0301-4738 1998-3689 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj-art-e726c9fa475d4440b6dd1faabe6e9dd92025-02-06T05:39:35ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892025-02-0173230530610.4103/IJO.IJO_3179_23The buccal plug: A technique for management of focal cicatricial entropion and trichiasisPersiana S SaffariKelsey A RoelofsDaniel B RootmanCicatricial entropion can be challenging to manage, and surgery may lead to anterior lamellar and focal lash loss or tarsal scarring. We describe a surgical technique to address focal cicatricial entropion that avoids conjunctival incisions and minimizes changes to the aesthetic contour of the eyelid. Four patients underwent surgery with a square portion of the posterior row of eyelash follicles being excised anterior to the tarsus. A buccal mucous membrane graft was then harvested and inserted between the lamella. The plug served to recreate a mucosal membrane at the posterior reflection of the eyelid and separate the anterior and posterior lamella mechanically. With a mean follow-up of 5.16 months, no patients experienced regrowth of lashes at the graft site, and corneal irritation from aberrant eyelashes was abated. The buccal plug technique provides an aesthetically minded, less invasive approach to surgical management of localized entropion with trichiasis.https://journals.lww.com/10.4103/IJO.IJO_3179_23buccalcicatricial entropiongrafttrichiasis |
| spellingShingle | Persiana S Saffari Kelsey A Roelofs Daniel B Rootman The buccal plug: A technique for management of focal cicatricial entropion and trichiasis Indian Journal of Ophthalmology buccal cicatricial entropion graft trichiasis |
| title | The buccal plug: A technique for management of focal cicatricial entropion and trichiasis |
| title_full | The buccal plug: A technique for management of focal cicatricial entropion and trichiasis |
| title_fullStr | The buccal plug: A technique for management of focal cicatricial entropion and trichiasis |
| title_full_unstemmed | The buccal plug: A technique for management of focal cicatricial entropion and trichiasis |
| title_short | The buccal plug: A technique for management of focal cicatricial entropion and trichiasis |
| title_sort | buccal plug a technique for management of focal cicatricial entropion and trichiasis |
| topic | buccal cicatricial entropion graft trichiasis |
| url | https://journals.lww.com/10.4103/IJO.IJO_3179_23 |
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