Mini-incisional entropion repair for correcting involutional entropion

Han, Jisang; Lee, Shin‐Hyo; Shin, Hyun Jin

doi:10.1097/md.0000000000016731

Cited by 11 publications

(12 citation statements)

References 19 publications

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“…Preoperative TMH was not different between the affected and unaffected sides in patients with unilateral involutional entropion. Although involutional entropion can cause reflex tear secretion by cilia-induced ocular surface abrasion [ 3 ], decreased corneal sensitivity in old patients may not increase the amount of reflex tear secretion [ 13 ]. In addition, malposition of the lower lacrimal punctum may also not affect the function of tear drainage.…”

Section: Discussionmentioning

confidence: 99%

Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion

Yokoyama

Vaidya

Kono

et al. 2023

Journal of Ophthalmology

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Purpose. To examine changes in the position of the lower eyelid punctum and tear meniscus height (TMH) after correction of horizontal laxity of the lower eyelid in involutional lower eyelid entropion. Methods. This prospective, observational study included 42 sides of 36 patients with involutional entropion who underwent a lateral tarsal strip procedure or transcanthal canthopexy (+ lower eyelid retractor advancement). The horizontal distance from the medial margin of the lower lacrimal punctum to the medial canthus was measured using ImageJ software. TMH was measured using anterior segment optical coherence tomography. All measurements were performed preoperatively, at postoperative 3-month and at postoperative 6-month. Results. The lower lacrimal punctum significantly shifted laterally at 3-month follow-up and slightly returned toward its original position at 6-month follow-up (Friedman’s test, P < 0.001 ). Although the differences did not reach statistical significance, TMH in the lower eyelid increased at 3-month follow-up and then slightly decreased at 6-month follow-up (Friedman’s test, P = 0.076 ). Conclusions. The results of this study imply that lateral shift of the lower lacrimal punctum prevents effective drainage of tears accumulated in the lacrimal lake, resulting in increased TMH after correction of horizontal laxity of the lower eyelid in involutional entropion.

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Section: Discussionmentioning

confidence: 99%

Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion

Yokoyama

Vaidya

Kono

et al. 2023

Journal of Ophthalmology

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“…A recurrence rate of 6.5% was observed by the conclusion of the 12 months period. 18 In the current study, group A patients who underwent the standard Weis surgical procedure had a recurrence rate of 32%, whereas, the patients in group B who underwent modified partial thickness surgical entropion procedure with external tamponade had a recurrence rate of 4% by the end of six months follow up duration. Higher recurrence rate in Weis procedure could be due to the full thickness incision resulting in conjunctival cicatrization.…”

Section: Discussionmentioning

confidence: 49%

Treatment of Senile Entropion: A Comparison of Standard and Modified Surgical Technique

Qurban

Kamil²

2022

J Ayub Med Coll Abbottabad

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Background: The aim of this study is to compare the postoperative functional outcomes of two different surgical techniques for the correction of senile lower lid entropion. It was a Quasi experimental study, carried out at BHY Hospital, Karachi, Pakistan from January to December 2018. Method: This study recruited fifty patients belonging to either gender with an age range of 60–70 years having unilateral lower lid senile entropion. All the patients were briefed about the study dynamics and divided into two groups with twenty-five patients in each group via convenience-based sampling technique. Those with a prior history of lid surgery or bleeding diathesis were excluded from the study. Patients of group A underwent the standard Weis surgical procedure whereas Group B patients underwent a modified surgical approach using an external tamponade. Main outcome measure was the rectification of abnormal lid position to the normal level. All the patients were followed for a period of six months postoperatively. Study approval was obtained from the institutional ethical review board. Result: This study included a total of fifty patients with twenty-five patients in each group. Mean age was 64.5±3.23 years. Recurrence was observed in 32% patients of group A and 4% patients of group B. Conclusion: The modified surgical technique for entropion repair using an external tamponade has a favourable outcome with minimal recurrence and symptomatic relief.

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“…The present study included 58 patients in whom 60 eyelids were affected by lower eyelid involutional entropion, including 30 In terms of associated ocular diseases, cataracts were observed in 17 (56.7%) patients in-group A and 24 (85.7%) in-group B. The latter group had undergone small incision cataract surgery (SICS) in one or both eyes 2 days after entropion correction.…”

Section: Resultsmentioning

confidence: 99%

“…reported an overall success rate of 93.5% after mini-incisional entropion repair involving sutures. 24,30 A study by Rougraff et al demonstrated a success rate of 78% using fornix sutures and LTS with a minimum of 18 months follow-up. 31 Unfortunately, the ES technique alone offers only temporary correction of the involutional entropion.…”

Section: Discussionmentioning

confidence: 99%

Comparison of Outcomes for Triangular Tarsectomy and Limited Orbicularis Myectomy with Lower Lid Retractor Plication Versus Everting Sutures for Involutional Entropion.

Abdullah

Mehbub²,

Prakash

2022

Preprint

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Purpose: To assess the outcomes of triangular tarsectomy and limited orbicularis myectomy with lower eyelid retractor plication versus an everting sutures technique for the correction of lower eyelid involutional entropion.Methods: A prospective quasi-study was conducted at two tertiary eye hospitals in Bangladesh between January 2016 and December 2019. Non-probability purposive sampling was used to select patients with lower eyelid involutional entropion. Patients in group A underwent triangular tarsectomy and limited orbicularis myectomy with lower eyelid retractor plication, whereas those in group B received everting sutures. All participants underwent regular follow-up and all surgeries were performed by a single surgeon. Results: A total of 58 patients in whom 60 eyelids were affected by lower eyelid involutional entropion were included in the study. The success rate was higher in group A compared to group B (100% versus 86.7%; p <0.50). Recurrence at a one-year follow-up was noted in only four (13.3%) cases, all of whom were in group B. However, patients in group A experienced a higher frequency of minimal postoperative complications, including short-term pain (83.3%) and ecchymosis (40%). Both approaches to entropion correction were successful in terms of cosmetic outcome. Conclusions: Triangular tarsectomy and limited orbicularis myectomy with eyelid retractor plication should be considered the definitive procedure for the correction of lower eyelid involutional entropion with minimal or no recurrence. However, everting sutures represent a minimally invasive and cost-effective alternative which can be considered for patients with comorbidities or contraindications, those afraid of surgery, and those of low socioeconomic means.

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Mini-incisional entropion repair for correcting involutional entropion

Abstract: Supplemental Digital Content is available in the text

Cited by 11 publications

References 19 publications

Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion

Changes in Lacrimal Punctum Position and Tear Meniscus Height after Correction of Horizontal Laxity in Involutional Lower Eyelid Entropion

Treatment of Senile Entropion: A Comparison of Standard and Modified Surgical Technique

Comparison of Outcomes for Triangular Tarsectomy and Limited Orbicularis Myectomy with Lower Lid Retractor Plication Versus Everting Sutures for Involutional Entropion.

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