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A comparative study of two procedures for repair of involutional lower lid entropion.
Ophthalmology. 2000 May; 107(5):959-61.O

Abstract

OBJECTIVE

The study compares the use of Jones' retractor plication and the Wies procedure as a primary procedure for the repair of involutional lower lid entropion in the absence of horizontal lid shortening.

DESIGN

Retrospective case series comparison.

PARTICIPANTS

One hundred two cases with at least 6 months follow-up after primary surgery for involutional lower lid entropion performed between 1993 and 1996.

INTERVENTIONS

Two groups were compared: Jones' retractor plication was performed in one group and the Wies procedure in the other; neither group had horizontal shortening of the lower eyelid.

MAIN OUTCOME MEASURES

The rates of cure, recurrence, and overcorrection of the lower lid entropion.

RESULTS

Jones' retractor plication was performed in 37 (36%) patients and the Wies procedure in 65 (64%). Two of the 37 (5%) Jones cases had recurrent entropion develop, both at 31 months after surgery, compared with 1 1 of 65 (17%) recurrences after the Wies procedure (P = 0.81); recurrence after Wies procedure was earlier, at a median of 6 months after surgery. There were 20 of 65 (31 %) overcorrections after the Wies procedure and 4 of 37 (11 %) after the Jones procedure (P < 0.02); one quarter of each group required secondary repair of the overcorrection (5 of 20 after failed Wies procedure; 25% after failed Jones procedure). Overall, there were 6 of 37 (16%) unsatisfactory results after the Jones procedure in contrast to 31 of 65 (48%) after the Wies procedure (P < 0.001).

CONCLUSIONS

These data provide strong evidence (P < 0.001) that, in the absence of horizontal shortening of the lower eyelid, a successful outcome is more likely after Jones retractor plication than after the Wies procedure.

Authors+Show Affiliations

Adnexal Service, Moorfields Eye Hospital, London, England.No affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

10811090

Citation

Boboridis, K, et al. "A Comparative Study of Two Procedures for Repair of Involutional Lower Lid Entropion." Ophthalmology, vol. 107, no. 5, 2000, pp. 959-61.
Boboridis K, Bunce C, Rose GE. A comparative study of two procedures for repair of involutional lower lid entropion. Ophthalmology. 2000;107(5):959-61.
Boboridis, K., Bunce, C., & Rose, G. E. (2000). A comparative study of two procedures for repair of involutional lower lid entropion. Ophthalmology, 107(5), 959-61.
Boboridis K, Bunce C, Rose GE. A Comparative Study of Two Procedures for Repair of Involutional Lower Lid Entropion. Ophthalmology. 2000;107(5):959-61. PubMed PMID: 10811090.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparative study of two procedures for repair of involutional lower lid entropion. AU - Boboridis,K, AU - Bunce,C, AU - Rose,G E, PY - 2000/5/16/pubmed PY - 2000/5/20/medline PY - 2000/5/16/entrez SP - 959 EP - 61 JF - Ophthalmology JO - Ophthalmology VL - 107 IS - 5 N2 - OBJECTIVE: The study compares the use of Jones' retractor plication and the Wies procedure as a primary procedure for the repair of involutional lower lid entropion in the absence of horizontal lid shortening. DESIGN: Retrospective case series comparison. PARTICIPANTS: One hundred two cases with at least 6 months follow-up after primary surgery for involutional lower lid entropion performed between 1993 and 1996. INTERVENTIONS: Two groups were compared: Jones' retractor plication was performed in one group and the Wies procedure in the other; neither group had horizontal shortening of the lower eyelid. MAIN OUTCOME MEASURES: The rates of cure, recurrence, and overcorrection of the lower lid entropion. RESULTS: Jones' retractor plication was performed in 37 (36%) patients and the Wies procedure in 65 (64%). Two of the 37 (5%) Jones cases had recurrent entropion develop, both at 31 months after surgery, compared with 1 1 of 65 (17%) recurrences after the Wies procedure (P = 0.81); recurrence after Wies procedure was earlier, at a median of 6 months after surgery. There were 20 of 65 (31 %) overcorrections after the Wies procedure and 4 of 37 (11 %) after the Jones procedure (P < 0.02); one quarter of each group required secondary repair of the overcorrection (5 of 20 after failed Wies procedure; 25% after failed Jones procedure). Overall, there were 6 of 37 (16%) unsatisfactory results after the Jones procedure in contrast to 31 of 65 (48%) after the Wies procedure (P < 0.001). CONCLUSIONS: These data provide strong evidence (P < 0.001) that, in the absence of horizontal shortening of the lower eyelid, a successful outcome is more likely after Jones retractor plication than after the Wies procedure. SN - 0161-6420 UR - https://www.unboundmedicine.com/medline/citation/10811090/A_comparative_study_of_two_procedures_for_repair_of_involutional_lower_lid_entropion_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(00)00027-0 DB - PRIME DP - Unbound Medicine ER -