한센 환자의 마비성 눈꺼풀겉말림에 시행한 강화된 가쪽 눈꺼풀판띠고정술의 효과

T he Effect of Augmented Lateral Tarsal Strip for Paralytic Ectropion in Leprosy Patients

Purpose: To analyze the effect of the augmented lateral tarsal strip for the correction of the paralytic ectropion in leprosy patients. Methods: Ten leprosy patients (16 eyelids) with exposed keratitis and lagophthalmos from paralytic ectropion underwent surgery of the augmented lateral tarsal strip. Preoperative and postoperative vertical palpebral aperture, marginal reflex distance, lagophthalmos, and anterior segment findings were recorded at 3 and 6 months after surgery. Postoperative symptomatic and functional improvements were assessed at 6 months after surgery. Results: There was a significant reduction between preoperative and postoperative measurements for vertical palpebral aperture (3.1±0.4 mm), lower marginal reflex distance (2.1±1.0 mm), and lagophthalmos (2.0±1.2 mm). Eye irritation symptoms and lid functions were improved in all patients. In a survey, the symptomatic, functional satisfaction was achieved in 90% of patients. Conclusions: The augmented lateral tarsal strip is a sufficiently effective surgical procedure to be considered in the treatment of paralytic ectropion in leprosy patients. J Korean Ophthalmol Soc 2009;50(4):497-504