Original ArticleSimple Effective Surgery for Involutional Entropion Suitable for the General Ophthalmologist
Section snippets
Patients and Methods
Fifty-five consecutive adult patients with involutional entropion underwent LTS+ES in a comparative interventional case series. The mean age was 77 years (range, 57–91 years); 25 patients (45%) were male and 30 patients (55%) were female. Seven patients had bilateral surgery, for a total of 62 eyelids. Patients with primary (n = 58 eyelids; 94%) and recurrent (n = 4 eyelids; 6%) involutional entropion were included.
The operation was taught to residents and fellows by a sole attending
Results
Forty-seven of the 55 patients enrolled in the study were followed up for 12 to 34 months (mean, 18 months). Six patients (11%) died within 6 months of the surgery and 2 patients were lost to follow-up. Results are available on 54 eyelids of 47 patients (Fig 3). The surgery was performed by the following grades of surgeon: 17 residents (30 eyelids), 3 oculoplastic fellows (16 eyelids), and 1 attending supervising physician (8 eyelids).
Horizontal eyelid laxity measurements in millimeters were
Discussion
This study shows that LTS+ES is a simple, effective, and long-lasting operation for the correction of involutional entropion. Excellent results can be achieved by newly trained surgeons with training. The technique corrects both the horizontal and vertical eyelid laxity. Rougraff et al34 described a similar technique using 3 5.0 chromic cat gut sutures and a standard LTS with almost identical success rates, and Quist35 had similarly good results with an LTS and modified Quickert-Rathburn
References (41)
The anatomy of the lower eyelid and its relation to the cause and cure of entropion
Am J Ophthalmol
(1960)Spastic entropion correction by orbicularis transplantation
Am J Ophthalmol
(1939)Surgical correction of spastic senile entropiona new method
Am J Ophthalmol
(1953)Modification of buried horizontal suture for entropion
Am J Ophthalmol
(1970)- et al.
Senile entropion. A new concept for correction
Am J Ophthalmol
(1972) Lateral canthal tendon tuck
Ophthalmology
(1979)Orbicularis oculi muscle extirpation in a combined procedure for involutional entropion
Ophthalmology
(1991)- et al.
Modified corncrib (inverted T) procedure with Quickert suture for repair of involutional entropion
Ophthalmology
(1997) - et al.
Effective small-incision surgery for involutional lower eyelid entropion
Ophthalmology
(2000) Tarsal strip combined with modified Quickert-Rathbun sutures for involutional entropion
Can J Ophthalmol
(2002)
Involutional lower lid entropionto shorten or not to shorten?
Ophthalmology
Lower eyelid medial canthal tendon laxity gradingan interobserver study of normal subjects
Ophthalmology
Mechanics and histology of senile entropion
Br J Ophthalmol
Involutional entropion. A review with evaluation of a procedure
Arch Ophthalmol
Senile entropion. Pathogenesis and treatment
Arch Ophthalmol
The role of enophthalmos in involutional entropion
Ophthal Plast Reconstr Surg
Relief of senile entropion
AMA Arch Ophthalmol
Spastic entropion
Trans Am Acad Ophthalmol Otolaryngol
Surgical cure of senile entropion
Br J Ophthalmol
Surgical management of orbital tarsal disparity
Arch Ophthalmol
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Manuscript no. 2004-254.
The authors have no financial interests in the article.