原创力文档relationship between immediate post-operative appearance and 6-week operative outcome in trichiasis surgery直接关系持续6周术后外观和手术结果倒睫手术.pdfVIP
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relationship between immediate post-operative appearance and 6-week operative outcome in trichiasis surgery直接关系持续6周术后外观和手术结果倒睫手术
Relationship between Immediate Post-Operative
Appearance and 6-Week Operative Outcome in Trichiasis
Surgery
1 1,2 1,2 1,2 1,2
Shannath L. Merbs *, Jennifer C. Harding , Sandra D. Cassard , Beatriz E. Munoz , Sheila K. West ,
Emily W. Gower3
1 Department of Ophthalmology, Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America, 2 Dana Center for
Preventive Ophthalmology, Johns Hopkins University School of Medicine, Baltimore, Maryland, United States of America, 3 Department of Epidemiology and Prevention,
Wake Forest School of Medicine, Winston-Salem, North Carolina, United States of America
Abstract
Background: Surgical technique, including suture placement and tension, is believed to contribute to the outcome of
bilamellar tarsal rotation surgery for trachomatous trichiasis. However, the immediate post-operative appearance that
minimizes the chance of recurrence and other adverse outcomes has not been investigated.
Methodology/Principal Findings: To explore whether the degree of correction immediately after surgery is predictive of
surgical outcome at the 6-week post-operative visit, photographs taken immediately after surgery were used to predict
surgical outcomes, including the severity of eyelid contour abnormality and trichiasis recurrence. Both eyelid contour
abnormalities and recurrence were accurately predicted from the immediate post-operative photographs by an
experienced oculoplastic surgeon 85% and 70% of the time, respectively. Participants with a ‘‘slight over-correction’’
that resulted in no eyelid contour
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