Lateral Tarsal Strip and Quickert Sutures for Lower Eyelid Entropion

Abstract

A combined lateral tarsal strip and Quickert sutures procedure is effective, simple, and addresses all of the factors that contribute to involutional entropion formation, with a good long-term success rate and cosmetic outcome.

Relationship of Horizontal Lower Eyelid Laxity, Involutional Entropion Occurrence, and Age of Asian Patients

“…1 Both horizontal and vertical laxity corrections are recommended for this type of entropion to maximize surgical success. [25][26][27][28] There are several limitations to this study. [25][26][27][28] There are several limitations to this study.…”

Combined pentagonal resection and inferior retractor plication in involutional entropion

“…López-García et al [7] reported recurrence rate of 17.4% after conventional tarsal strip surgery for involutional entropion. It can be combined with other procedures such as everting sutures [13, 14, 17] and inferior retractor plication, shortening or advancement [12, 18, 19]. There is a range of recurrence rates with such combined procedures.…”

“…The combined procedure including LTS, inferior retractor tightening and everting sutures described by Serin et al had 2.2% recurrence rate [12]. Ho et al [14] reported a recurrence rate of 9.4% in primary cases and 22.2% after failed previous procedure after lateral tarsal strip and Quickert sutures for lower eyelid entropion. Allen et al [23] described a modified Quickert and Jones technique which included wedge resection of the eyelid.…”

“…Studies have compared surgical outcome of single procedure with combined procedures and shown a lower recurrence rate after combination procedures [12–14]. Hill et al [15] previously described a combination technique which involved shortening the lateral lower eyelid by performing a full thickness excision.…”

Lateral Wedge Resection: A Simple Technique for Repairing Involutional Lower Eyelid Entropion

“…3,4 Various techniques have been described for correcting involutional entropions. [5][6][7][8][9][10][11][12][13][14][15][16] Most of these techniques are based on a canthotomy with horizontal tightening of the lower lid using a lateral tarsal strip anchored to the exposed orbital rim with several stitches.…”