Corneal and Tear Film Changes after Trachomatous Upper Lid Entropion Surgery

Abstract: Purpose: to evaluate the effect of entropion surgery on corneal surface epithelium, tear film stability and cornea curvatures. Methods: 100 eyes of 76 patients were included in this study and who had cicatricial entropion trichiasis due to trachomatus scar. These cases were surgically treated according to severity. Complete ophthalmic examination, Fluorescein stain of cornea, schirmer 1 test, tear film break up time & keratometry were done in all eyes preoperatively & 6 weeks postoperatively. Results: the area of corneal staining by fluorescein stain reduced significantly to less than half of the cornea in 1 day after surgery, whereas complete resolution of staining was seen in 6 weeks in 80% of cases (P = 0.0012). Tear film break up time (BUT) increased significantly in both genders (P < 0.03), while Schirmer 1 test decreased significantly in male, not in female (P = 0.041, 0.057 respectively). However the effect of surgery on cornea curvature was negligible (P value 1.00). Conclusion: Surgical correction of upper lid trachomatous entropion regardless of the surgical approach used, produces solid improvement in health state of the cornea and the tear film.

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[Mahmoud A Elsamkary, Tamer F Eliwa, Reem O Helmy (2015); Corneal and Tear Film Changes after Trachomatous Upper Lid Entropion Surgery Int. J. of Adv. Res. 3 (4). 0] (ISSN 2320-5407). www.journalijar.com

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