Long-term surgical outcomes of Quickert sutures for involutional lower eyelid entropion

Jang, Sun Young; Choi, Se Rang; Jang, Jae Woo; Kim, Sung Joo; Choi, Hye Sun

doi:10.1016/j.jcms.2014.05.003

Cited by 34 publications

(24 citation statements)

References 9 publications

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“…The main limitation of this procedure is its high recurrence rate, which is reportedly 22% to 58.8% during a mean follow period 18 to 34.5 months. [10,11,12,13] The transcutaneous or transconjunctival lower lid retractor reinsertion procedure (also called Jones retractor plication) is one of the most commonly performed operations, and it involves reinsertion of the detached lower lid retractors to the anterior border of the tarsal plate. Although that procedure has the advantage of direct visualization of the pathologic tissues and allows for removal of the pretarsal orbicularis oculi muscle and redundant skin, it has been criticized for its high technical difficulty, time requirement, and potential risk of secondary ectropion and retraction.…”

Section: Discussionmentioning

confidence: 99%

Mini-incisional entropion repair for correcting involutional entropion

2019

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Section: Discussionmentioning

confidence: 99%

Mini-incisional entropion repair for correcting involutional entropion

2019

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“…Patients treated with the ES procedure had a very high recurrence rate at 12 months (42.9%), possibly because, following the study design, we did not exclude from the group eyelids with marked horizontal eyelid laxity. Jang et al reported similar results with a recurrence rate of 49.3% within 2 years postoperatively [14]. In another RCT, Scheepers et al found a lower recurrence rate (21%) for ES alone at 18 months follow-up, but patients with excessive horizontal eyelid laxity were excluded from this procedure.…”

Section: Discussionmentioning

confidence: 84%

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

et al. 2019

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Introduction To compare the anatomical and functional outcome and changes in the quality of life (QoL) over time of the lateral tarsal strip (LTS) versus the Quickert everting sutures (ES) for the repair of primary involutional lower eyelid entropion. Methods Forty-five patients (54 eyes) with primary involutional lower eyelid entropion were recruited in a prospective randomized clinical trial over 3-year period. Twenty-six eyes were randomized to the LTS technique and 28 to the ES procedure. Primary outcome was the anatomical correction of the eyelid at the final assessment in 1 year. Secondary outcomes were function and symptoms assessment with a QoL questionnaire at 6 months. Fisher’s exact test was used for the statistical analysis of success rate and gender study and Mann–Whitney U test and logistic regression analysis were used for age study. The Wilcoxon and Mann–Whitney U tests were used for the analysis of the National Eye Institute Visual Functioning Questionnaire-25 (NEI VFQ-25). Results At the 6-month follow-up, 25 eyes (96.2%) of the LTS group and 20 (71.4%) of the ES group had favorable outcome ( P = 0.025). There were one and eight eyes, respectively, with early recurrence. At the final 12-month evaluation, 23 eyes (88.5%) in the LTS group and 16 eyes (57.1%) in the ES group were successful. Three (11.5%) and 12 (42.9%) eyes respectively showed postoperative recurrence. There was a statistically significant difference between the two groups ( P = 0.015) for the primary outcome, whereas age and gender did not influence success. The NEI VFQ-25 showed statistically significant subjective improvement from baseline in most categories of the QoL. No significant difference between the two procedures was detected at 6 months. Conclusion This study suggests that the LTS procedure has a superior surgical success rate and reduction of symptoms compared with the ES for the repair of involutional lower eyelid entropion. Both procedures showed similar improvement of the postoperative QoL. Trial registration International Clinical Trials Registry Platform identifier: ACTRN12616000620426.

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“…The disadvantage of the ES technique is its relatively high recurrence rate. In the case of correction by ES only, the reported recurrence rates were 15% [20], 11.8% [21], and 49.3% [22].…”

Section: Discussionmentioning

confidence: 99%

Comparison of everting sutures and the lateral tarsal strip with or without everting sutures for involutional lower eyelid entropion: A meta-analysis

Paik

Hwang

Kim

et al. 2020

Preprint

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There are three pathophysiologies of involutional entropion, vertical laxity (VL), horizontal laxity (HL), and overriding of the preseptal orbicularis. The effects of methods to correct VL only, HL only, or both VL and HL in patients with involutional entropion were compared using the published results of randomized controlled trials (RCTs).To find RCT studies that investigated methods to correct involutional entropion, a systematic search was performed from database inception to April 2020 in the Medline, EMBASE, and Cochrane databases. Two independent researchers conducted the literature selection and data extraction. Evaluation of the quality of the reports was performed using the Cochrane Collaboration tool for assessing the risk of bias (ROB 2.0). The data analysis was conducted according to the PRISMA guidelines using Review Manager 5.3.Two RCT studies were included in this meta-analysis. Surgery for involutional entropion was performed on a total of 109 eyes. Everting sutures (ES) were used on 57 eyes and lateral tarsal strips (LTS) or combined procedures (LTS + ES) were performed on 52 eyes. At the end of the follow-up periods, involutional entropion recurred in 18 eyes (31.6%) in the ES group and three eyes (5.8%) in the LTS +/- ES group. Analysis of the risk ratio showed that the LTS +/- ES method significantly lowered the recurrence rate compared to using ES only (P = 0.007).Performing LTS +/- ES effectively lowered the recurrence rate of involutional entropion compared to ES alone. However, some patients cannot tolerate more invasive corrections such as LTS. Therefore, sequential procedures, in which ES is performed first and then when entropion recurs LTS +/- ES is performed, or another methods depending upon the degree of HL may be used.

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Long-term surgical outcomes of Quickert sutures for involutional lower eyelid entropion

Cited by 34 publications

References 9 publications

Mini-incisional entropion repair for correcting involutional entropion

Mini-incisional entropion repair for correcting involutional entropion

Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

Comparison of everting sutures and the lateral tarsal strip with or without everting sutures for involutional lower eyelid entropion: A meta-analysis

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