Purpose. To evaluate the outcome of anterior lamellar reposition (ALR) in treating trachomatous trichiasis. Methods. Patients with\ntrachomatous trichiasis or entropion with short tarsus were treated by ALR between February 2009 and November 2013. This\nincluded splitting of the lid margin behind the aberrant lash line to separate the lid lamellae. The anterior lamella was recessed\nand fixated using 4/0 silk sutures. The extra lashes and their routes were excised. Sutures were removed by the 3rd week and\npatients completed 6 months of follow-up. Recurrence of ?5 lashes was treated by electrolysis. Results. The study included 752\neyelids (445 patients; 58.4% females, 41.6% males), mean age 53.2 Ã?± 6.9 y. 179 (25.1%) lids had entropion while 287 (64.5%) patients\nhad corneal affection. By the third week, 2.66% lid had trichiasis while 30.8% had no rubbing lashes. By the 6th month, 14.9% of lids\nshowed recurrence while 66.1% were completely cured (CI = 0.63ââ?¬â??0.69) and 19% had partial success (CI = 0.16ââ?¬â??0.21). Abnormal\nlid appearance persisted in 2.66% and 12.9% required another surgery. Conclusion. ALR is a good option for treating trachomatous\ntrichiasis especially without cicatricial entropion. Excision of dysplastic lashes is thought to augment the surgical outcome.
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