Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

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dc.contributor.authorDamasceno, Renato Wendell [UNIFESP]
dc.contributor.authorOsaki, Midori Hentona [UNIFESP]
dc.contributor.authorCorrea Dantas, Paulo Elias
dc.contributor.authorBelfort, Rubens [UNIFESP]
dc.contributor.institutionUniversidade Federal de São Paulo (UNIFESP)
dc.date.accessioned2016-01-24T14:17:11Z
dc.date.available2016-01-24T14:17:11Z
dc.date.issued2011-09-01
dc.description.abstractPurpose: To determine the prevalence of involutional entropion and ectropion of the lower eyelid in the elderly population; to examine how these disorders are related to gender, age, skin color, and axial ocular globe projection; and to define the incidence of associated ocular surface and pathologic eyelid findings.Methods: An ophthalmic survey was conducted in 24,565 elderly people. All participants underwent ophthalmic examination by general ophthalmologists to identify entropion and ectropion. Information about associated ocular surface and pathologic eyelid findings were collected from all patients with involutional eyelid malposition. Patients with involutional entropion and ectropion underwent measurements of the axial ocular globe projection. the Pearson chi-square test and the Mann-Whitney U test were performed.Results: the prevalence of involutional entropion was 2.1%; 1.9% in men and 2.4% in women. the prevalence of involutional ectropion was 2.9%; 5.1% in men and 1.5% in women. Dry eye syndrome, lower retractor laxity, and superficial punctate keratopathy were seen significantly more often in patients with involutional entropion than in those with involutional ectropion (p < 0.001). Chronic conjunctivitis was significantly more common in patients with involutional ectropion than in those with involutional entropion (p < 0.001). the axial ocular globe projection was significantly smaller in patients with involutional entropion than in those with involutional ectropion (p < 0.001).Conclusions: the prevalence of involutional entropion and ectropion in the elderly population is 2.1% and 2.9%, respectively. the axial ocular globe position plays a pathogenic role in involutional lower eyelid malposition. (Ophthal Plast Reconstr Surg 2011; 27: 317-320)en
dc.description.affiliationUniversidade Federal de São Paulo, Dept Ophthalmol, BR-04023062 São Paulo, Brazil
dc.description.affiliationUniversidade Federal de São Paulo, Vis Inst, BR-04023062 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Dept Ophthalmol, BR-04023062 São Paulo, Brazil
dc.description.affiliationUnifespUniversidade Federal de São Paulo, Vis Inst, BR-04023062 São Paulo, Brazil
dc.description.sourceWeb of Science
dc.format.extent317-320
dc.identifierhttp://dx.doi.org/10.1097/IOP.0b013e3182115229
dc.identifier.citationOphthalmic Plastic and Reconstructive Surgery. Philadelphia: Lippincott Williams & Wilkins, v. 27, n. 5, p. 317-320, 2011.
dc.identifier.doi10.1097/IOP.0b013e3182115229
dc.identifier.issn0740-9303
dc.identifier.urihttp://repositorio.unifesp.br/handle/11600/34023
dc.identifier.wosWOS:000294711700020
dc.language.isoeng
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofOphthalmic Plastic and Reconstructive Surgery
dc.rightsinfo:eu-repo/semantics/restrictedAccess
dc.titleInvolutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Populationen
dc.typeinfo:eu-repo/semantics/article
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