Anterior Lamellar Recession vs Bilamellar Tarsal Rotation in Upper Lid Cicatricial Trichiasis

Study Overview
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Brief Summary
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in recent years there has been a significant shift from this destructive procedure to a reconstructive procedure such as Anterior Lamellar Recession (ALR) and Bilamellar Tarsal Rotation (BLTR).

Official Title
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Anterior Lamellar Recession vs Bilamellar Tarsal Rotation in Upper Lid Cicatricial Trichiasis

Conditions
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Cicatricial Trichiasis

Intervention / Treatment
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* Procedure: Anterior Lamellar Recession
* Procedure: Bilamellar Tarsal Rotation


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients with upper lid cicatricial trichiasis that requires surgical intervention Exclusion Criteria: Refusal of the patients. Associated entropion., 3) Severe ocular surface disease. Previous eyelid surgery. Associated lid laxity. Lack of adequate follow-up

Ages Eligible for Study
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Minimum Age: 48 Years
Maximum Age: 59 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Non-Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Anterior Lamellar Recession<br> | Procedure: Anterior Lamellar Recession<br>* ALR is a common surgical treatment that splits the skin and orbicularis oculi muscle from the tarsus and conjunctiva to recede the anterior lamella and expose the tarsus. Interlamellar separation can be accomplished via a grey line technique, an eyelid crease approach, or a combination of the two<br>|
| Active Comparator: Bilamellar Tarsal Rotation<br> | Procedure: Bilamellar Tarsal Rotation<br>* the full-thickness transverse blepharotomy combined with everting sutures to rotate the inferior portion of the upper lid outwards and this procedure has a low recurrence risk<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| lid correction | Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections) | at 1 month post operative | 
| lid correction | Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections) | 3 months postoperative | 
| lid correction | Its a subjective outcome that will be collected through an interview after the surgery. it consists of 3 sub domaines which include (adequate correction, undercorrection, and over corrections) | 6 months postoperative | 
| Cosmetic Satisfaction | Its a subjective outcome that will be collected through an interview after the surgery. | at 1 months post operative | 
| Cosmetic Satisfaction | Its a subjective outcome that will be collected through an interview after the surgery. | at 3 months post operative | 
| Cosmetic Satisfaction | Its a subjective outcome that will be collected through an interview after the surgery. | at 6 months post operative |