Bedside repair of congenital upper eyelid entropion: A variation of the Quickert suture technique

Abstract

PurposeThe current literature is void of any lasting bedside treatments for congenital upper eyelid entropion repair.ObservationsA six-day old male was born with bilateral upper eyelid entropion associated with a duplication of the long arm of chromosome 3q11.1-q24. Conservative management with ocular lubrication and observation did not yield spontaneous resolution, and surgical intervention was performed at the bedside with a Quickert suture technique.Conclusions and importanceWe discuss the novel use of this technique and review the relevant literature. Our technique is something not previously described in the literature for congenital upper eyelid entropion. It obtained satisfactory and sustained resolution.

Congenital Tarsal Kink Syndrome: Literature Review and Case Report

“…In comparison to our surgical technique, some of the techniques described in Table 1 use closed procedures with everting sutures [ 1 , 4 , 9 ], while the open procedure is also different, using a transconjunctival approach with horizontal tarsotomy and marginal rotation [ 2 ]. Essential to managing the upper eyelid entropion is protecting the cornea by applying corneal trophic substances—eyewashes, gels and ointments [ 5 ]. The placement of a therapeutic contact lens is not a first intention solution because it is quickly expelled [ 1 ].…”

“…The placement of a therapeutic contact lens is not a first intention solution because it is quickly expelled [ 1 ]. Another course of action that is not recommended is protecting the cornea with a dressing [ 5 , 7 ]. A therapeutic contact lens can be used with success in patient postoperative management.…”

“…The surgery was a success every single time, indicating that the correction of the tarsal kink does not depend on the procedure [ 2 ]. The open procedures described are represented by: the excision of the fibrotic band associated with eversion sutures, the horizontal transection of the tarsal plate associated with eversion sutures, the repositioning of the anterior lamella, horizontal tarsotomy with marginal rotation, lamellar tarsoplasty and resection of the anterior lamella [ 1 , 3 , 4 , 5 ]. Closed procedures include different types of eyelid eversion sutures, intermarginal tarsorrhaphy and the mechanical extension of the tarsal plate followed by a temporary tarsorrhaphy on the grey line in the first few days of life [ 2 , 6 ].…”

“…It mainly affects boys and is mainly unilateral, but it can also be bilateral [ 2 , 3 ]. It can be associated with systemic cardiovascular conditions or central nervous system disorders [ 3 , 4 , 5 ]. The condition must be recognized and surgically treated as an emergency to avoid associated complications—corneal ulcer, corneal leucoma and secondary amblyopia [ 6 , 7 , 8 ].…”