Lower eyelid suspension using polypropylene suture for the correction of punctal ectropion

Comparison of Polypropylene Sling with Combined Transconjunctival Retractor Plication and Lateral Tarsal Strip for Correction of Involutional Lower Eye Lid Ectropion

“…The suture should be placed about 2mm from the lid margin and correct positioning ensured intraoperatively. None of the patients developed suture exposure or suture granuloma as reported previously [4]. This was achieved by meticulous closure of the orbicularis muscle and skin separately over the suture knot.…”

“…With medial lid laxity full thickness lid resection, medial canthal suture or tarsoconjunctival diamond excision is employed in the medial part of the lid [1, 3]. An alternative minimally invasive technique using polypropylene suture that is Polypropylene sling (PS), whereby a horizontal non-absorbable suture is passed in the pre-tarsal plane from lateral canthal ligament to medial canthus to tighten the lid, has been used successfully for the treatment of epiphora in mild and moderate involutional ectropion [4]. …”

Lateral transorbital canthopexy using a silicone tube in patients with paralytic ectropion

“…To better stabilize the paralyzed eyelid, biological materials such as preserved sclera, 7 hard palate mucosa, 8 lamella grafts, 9 fascia lata, 10 auricular cartilage, 11 as well as artificial materials such as polytetrafluoroethylene, 12 porous polyethylene (Medpor ® ), 13 and polypropylene sutures have been used as slings or spacers. 14 Utilizing alloplastic materials obviates graft harvesting therein reducing morbidity while shortening both the surgical duration and recovery time. 15 The use of silicone in oculoplastic surgery has been well described in tear nasolacrimal duct surgery, 16 eyelid ptosis, 17 orbital fracture repair, 18 and has been utilized as an orbital implant in anophthalmic cavities.…”

“…We believe this was attributable to tissue laxity in the 95-year-old subject, specifically of the medial canthal tendon, which yields less support for fixation of the silicone tube. 14 Inclusion of a silicone implant demonstrated durability, safety and effectiveness in a predominant number of patients with moderate or severe paralytic ectropion. The approach may have applicability in patients with severe involutional ectropion and retraction due to malar hypoplasia and prominent globes, an area for potential future investigation.…”

Surgical Sutures - A Review

“…19,20 Other Since it is largely unaffected by body tissues, it is used for scleral fixation of intraocular lens, fixation of Cionne`s ring, iridodialysis repair, brow lift and correction of involutional ectropion. [20][21][22][23][24] Polybutylate coated braided polyester(Ethibond) is made by fine filaments of polyester and a special braiding process produces a firm, strong suture which remains soft and pliable. Braiding is followed by polybutylate coating to impart lubrication and smooth passage through scleral tissues during retinal surgery and sling surgery.…”