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

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

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).

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