PMID: 16623164Apr 21, 2006Paper

The not-so-lazy-T: a modification of medial ectropion repair

The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland
A W FergusonP P Kearns

Abstract

Medial involutional ectropion without excessive lateral canthal tendon laxity is often corrected using the lazy-T procedure. This procedure however carries a potential risk of canalicular damage, and locating the lower lid retractors can be difficult. We have developed a modification. Replacing the tarso-conjunctival diamond with a subconjuctival pocket posterior and inferior to the punctum, into which the lower lid retractors are advanced from the base of the wedge excision, which effectively ensures plication of the lower lid retractors while maintaining a straightforward procedure. The follow-up data on five procedures showed surgical and symptomatic success in all patients, without complications. These results confirm the efficacy of this modification of the lazy-T procedure in the correction of medial lower lid ectropion.

References

Jul 1, 1976·Archives of Ophthalmology·B Smith
Aug 1, 1994·Australian and New Zealand Journal of Ophthalmology·B O'Donnell

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Citations

Nov 18, 2018·The Journal of Craniofacial Surgery·Eri IshikawaHirohiko Kakizaki
Jul 25, 2019·Aesthetic Surgery Journal·Catherine Y LiuAllen M Putterman
Aug 31, 2017·Orbit·Peter P M RausRichard Collin
Mar 12, 2019·Ophthalmic Plastic and Reconstructive Surgery·Kira L SegalVictor M Elner

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