Relevance. Involutional malpositions of the lower eyelid, including entropion, are common age-related conditions that cause not only cosmetic but also significant functional disturbances. Malposition of the eyelid leads to tear film instability, chronic ocular surface irritation, increased risk of corneal damage, and the development of dry eye symptoms. Purpose. To conduct a comprehensive assessment of ocular surface parameters and tear film stability in patients with involutional lower eyelid malpositions before and after surgical correction using the tunnel canthoplasty technique. Materials and Methods. The study included 41 patients (41 eyes) with a confirmed diagnosis of involutional lower eyelid entropion. All patients underwent surgical correction using tunnel canthoplasty. Examinations were performed preoperatively, as well as at 2 weeks, 3 months, and 6 months postoperatively. The assessment included ocular surface evaluation (fluorescein staining using the Oxford scale, LIPCOF test), tear film stability (Norn’s test, Schirmer I and II tests), and subjective symptom severity (OSDI questionnaire). Results. Significant improvement was observed in all measured parameters during both early and late postoperative periods: reduction in the degree of conjunctivochalasis, increased tear film stability (prolongation of tear break-up time), normalization of tear production, and a marked decrease in subjective symptoms of irritation and dryness based on OSDI scores. The tunnel canthoplasty technique demonstrated high clinical efficacy and stability of outcomes without serious complications. Conclusion. Tunnel canthoplasty is an effective and safe surgical method for correcting involutional entropion, providing restoration of eyelid anatomy, improved tear film stability, and ocular surface condition with no major complications.
| Mualliflar | Руснак М.В., Якушенко А.Р., Бабаева Ш.Э., Потемкин В.В. |
|---|---|
| Jurnal | Передовая Офтальмология |
| Nashr sanasi | 2025-11-06 |
| Jild | 14 |
| Son | 3 |
| Betlar | 80-89 |
| DOI | 10.57231/j.ao.2025.14.3.014 |
DOI: 10.57231/j.ao.2025.14.3.014 · Maqolaning asl sahifasi · PDF
Relevance. Uveitis – inflammation of the vascular membrane of the eye – refers to multifactorial diseases. The difference in etiology, the features of the anatomical structure of the eyes, the immunological reactivity…
Relevance. Diabetic retinopathy (DR) is one of the main causes of incurable blindness and visual disability among adults. A number of scientific studies are conducted for the purpose of effective prevention and…
Relevance. Devic’s myelitis optica (MO) is a rare autoimmune disorder of the central nervous system characterized by lesions of the optic nerves and spinal cord. Despite its similarity to multiple sclerosis, MO is…
Relevance. The combination of endocrine ophthalmopathy (EO) with ocular hypertension (OHT) and glaucoma presents a diagnostically and therapeutically complex clinical scenario. In the absence of a unified management…
Relevance. Glaucoma remains one of the leading causes of irreversible blindness worldwide. The development of early diagnostic methods, particularly for patients with high myopia, is a pressing issue. Purpose of the…
Relevance. Central serous chorioretinopathy (CSCR) is a macular disease characterized by decreased central vision and a potential transition to the chronic form. Purpose of the study. To evaluate the effectiveness of…
Relevance. DIn recent years, the number of viral eye diseases has been increasing due to the widespread use of hormonal drugs. Purpose of the study. To study the peculiarities of clinic, diagnostics and treatment of…
Relevance. In recent decades, there has been a significant increase in cases of myopia, especially among children and adolescents. According to the World Health Organization (WHO), by 2050, approximately half of the…
Relevance. This article highlights the problems of dry eye syndrome (DES), emphasizing its multifactorial nature and innovative methods of treatment, including the combined use of intense pulsed light (IPL)-infrared…
Relevance. In 1985, at the University of Sheffield, Anthony Barker, at the head of a group of like-minded people, created a device that helped develop modern methods of using transcranial magnetic stimulation (TMS)…