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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).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Anterior Lamellar Recession | Active Comparator |
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| Bilamellar Tarsal Rotation | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Anterior Lamellar Recession | Procedure | 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 |
| 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 |
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Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ehab tharwat | Damietta | New Damietta | 34517 | Egypt |
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| Bilamellar Tarsal Rotation | Procedure | 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 |
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