J Cosmet Med 2020; 4(2): 64-68  https://doi.org/10.25056/JCM.2020.4.2.64
Surgical treatment of epiphora with eyelid retraction after a lower eyelid surgery
Jae Hun Lee, MD, Nam Yeong Kim, MD, Hee Bae Ahn, MD, PhD
Department of Ophthalmology, Dong-A University College of Medicine, Busan, Rep. of Korea
Hee Bae Ahn
E-mail: hbahn@dau.ac.kr
Received: September 7, 2020; Revised: November 15, 2020; Accepted: December 4, 2020; Published online: December 31, 2020.
© Korean Society of Korean Cosmetic Surgery. All rights reserved.

cc This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0), which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Background: Because of the rapidly increasing demand for cosmetic surgery in Korea, the number of patients presenting with epiphora after lower eyelid surgery and diagnosed with retraction is currently increasing.
Objective: To evaluate the effect of the lateral tarsal strip procedure (LTS) in patients with epiphora and eyelid retraction after lower eyelid surgery.
Methods: A total of 145 eyes of 81 patients who reported to our hospital between January 2010 and February 2020 were included in the study. Twenty-six eyes of 17 patients underwent LTS, and 119 eyes of 64 patients underwent LTS combined with silicone tube intubation or endonasal dacryocystorhinostomy (DCR). The pre- and postoperative symptoms, margin reflex distance 2 (MRD2), tear meniscus height (TMH), and complications were retrospectively compared.
Results: Seventy-two of the 81 patients (88.9%) showed improvements in epiphora. The improvements in TMH in the combined surgery and single surgery groups were 0.45±0.28 and 0.44±0.18 mm, respectively, showing postoperative improvements in both groups. MRD2 also improved to 0.62±0.66 and 0.27±0.68 mm in the combined surgery and single surgery groups, respectively. No significant difference was observed between the two groups.
Conclusion: LTS is an effective surgical method for epiphora in patients experiencing eyelid retraction after lower eyelid surgery. Its combination with silicone tube intubation or endonasal DCR is considered effective for lacrimal pathway disorders.
Keywords: endonasal dacryocystorhinostomy; epiphora; eyelid retraction; lateral tarsal strip; silicone tube intubation
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