Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion
Purpose. To analyze the clinical findings associated with involutional entropion and ectropion and compare them to each other and to age-matched controls. Methods. Prospective, age-matched cohort study involving 30 lids with involutional entropion, 30 lids with involutional ectropion, and 52 age-mat...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Journal of Ophthalmology |
| Online Access: | http://dx.doi.org/10.1155/2014/231487 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850232195221815296 |
|---|---|
| author | Kevin S. Michels Craig N. Czyz Kenneth V. Cahill Jill A. Foster John A. Burns Kelly R. Everman |
| author_facet | Kevin S. Michels Craig N. Czyz Kenneth V. Cahill Jill A. Foster John A. Burns Kelly R. Everman |
| author_sort | Kevin S. Michels |
| collection | DOAJ |
| description | Purpose. To analyze the clinical findings associated with involutional entropion and ectropion and compare them to each other and to age-matched controls. Methods. Prospective, age-matched cohort study involving 30 lids with involutional entropion, 30 lids with involutional ectropion, and 52 age-matched control lids. Results. The statistically significant differences associated with both the entropion and ectropion groups compared to the control group were presence of a retractor dehiscence, presence of a “white line,” occurrence of orbital fat prolapse in the cul-de-sac, decreased lower lid excursion, increased lid laxity by the snapback test, and an increased lower lid distraction. Entropion also differed from the control group with an increased lid crease height and decreased lateral canthal excursion. Statistically significant differences associated with entropion compared to ectropion were presence of a retractor dehiscence, decreased lateral canthal excursion, and less laxity in the snapback test. Conclusion. Entropic and ectropic lids demonstrate clinically and statistically significant anatomical and functional differences from normal, age-matched lids. Many clinical findings associated with entropion are also present in ectropion. Entropion is more likely to develop with a pronounced retractor deficiency. Ectropion is more likely to develop with diminished elasticity as measured by the snapback test. |
| format | Article |
| id | doaj-art-09d45958dec34f528900600fc8932bef |
| institution | OA Journals |
| issn | 2090-004X 2090-0058 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Ophthalmology |
| spelling | doaj-art-09d45958dec34f528900600fc8932bef2025-08-20T02:03:16ZengWileyJournal of Ophthalmology2090-004X2090-00582014-01-01201410.1155/2014/231487231487Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and EctropionKevin S. Michels0Craig N. Czyz1Kenneth V. Cahill2Jill A. Foster3John A. Burns4Kelly R. Everman5Division of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Doctor’s Hospital, 50 Old Village Road, Columbus, OH 43228, USADivision of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Doctor’s Hospital, 50 Old Village Road, Columbus, OH 43228, USADepartment of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, 111 S. Grant Avenue, Columbus, OH 43215, USADivision of Ophthalmology, Section Oculofacial Plastic and Reconstructive Surgery, Ohio University/Doctor’s Hospital, 50 Old Village Road, Columbus, OH 43228, USADepartment of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, 111 S. Grant Avenue, Columbus, OH 43215, USADepartment of Ophthalmology, Oral and Maxillofacial Surgery, Grant Medical Center, 111 S. Grant Avenue, Columbus, OH 43215, USAPurpose. To analyze the clinical findings associated with involutional entropion and ectropion and compare them to each other and to age-matched controls. Methods. Prospective, age-matched cohort study involving 30 lids with involutional entropion, 30 lids with involutional ectropion, and 52 age-matched control lids. Results. The statistically significant differences associated with both the entropion and ectropion groups compared to the control group were presence of a retractor dehiscence, presence of a “white line,” occurrence of orbital fat prolapse in the cul-de-sac, decreased lower lid excursion, increased lid laxity by the snapback test, and an increased lower lid distraction. Entropion also differed from the control group with an increased lid crease height and decreased lateral canthal excursion. Statistically significant differences associated with entropion compared to ectropion were presence of a retractor dehiscence, decreased lateral canthal excursion, and less laxity in the snapback test. Conclusion. Entropic and ectropic lids demonstrate clinically and statistically significant anatomical and functional differences from normal, age-matched lids. Many clinical findings associated with entropion are also present in ectropion. Entropion is more likely to develop with a pronounced retractor deficiency. Ectropion is more likely to develop with diminished elasticity as measured by the snapback test.http://dx.doi.org/10.1155/2014/231487 |
| spellingShingle | Kevin S. Michels Craig N. Czyz Kenneth V. Cahill Jill A. Foster John A. Burns Kelly R. Everman Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion Journal of Ophthalmology |
| title | Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion |
| title_full | Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion |
| title_fullStr | Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion |
| title_full_unstemmed | Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion |
| title_short | Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion |
| title_sort | age matched case controlled comparison of clinical indicators for development of entropion and ectropion |
| url | http://dx.doi.org/10.1155/2014/231487 |
| work_keys_str_mv | AT kevinsmichels agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion AT craignczyz agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion AT kennethvcahill agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion AT jillafoster agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion AT johnaburns agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion AT kellyreverman agematchedcasecontrolledcomparisonofclinicalindicatorsfordevelopmentofentropionandectropion |