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Involutional entropion repair with fornix sutures and lateral tarsal strip procedure.
Ophthalmic Plast Reconstr Surg. 2001 Jul; 17(4):281-7.OP

Abstract

PURPOSE

To evaluate the long-terrm effectiveness of fornix suture placement combined with a lateral tarsal strip procedure in correcting involutional entropion. Published reports regarding various surgical techniques and results are reviewed.

METHODS

This retrospective study reviewed 119 patients with involutional lower eyelid entropion who underwent surgical repair between January 1987 and May 1999 at the Bascom Palmer Eye Institute. Exclusion criteria included follow-up duration of less than 6 months, previous lower eyelid blepharoplasty, previous conjunctival surgery other than chalazion removal, or cicatricial entropion. The three surgical subsets were (1) combined lateral tarsal strip and fornix sutures: (2) fornix sutures alone; and (3) lateral tarsal strip procedure alone. The chart review was complemented by a telephone questionnaire to assess the long-term clinical outcome, complications, and patient satisfaction.

RESULTS

One hundred fifty-two eyelids in 119 patients were included. One hundred twenty-five eyelids had combined surgery (lateral tarsal strip with fornix sutures), 9 eyelids had only fornix suture repair, and 18 eyelids had repair with only the lateral tarsal strip procedure. The recurrence rate in these three surgical subsets was 1.6%, 33%, and 22%, respectively, with average follow-up of 36 months. One case of incisional cellulitis was encountered. Postoperative ectropion was not seen in the group having the combined lateral tarsal strip and fornix suture procedure.

CONCLUSIONS

Suture advancement of the lower eyelid retractors in conjunction with a lateral tarsal strip procedure is a simple, quick, physiologic, and effective approach in achieving long-lasting correction for involutional entropion.

Authors+Show Affiliations

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

11476179

Citation

Rougraff, P M., et al. "Involutional Entropion Repair With Fornix Sutures and Lateral Tarsal Strip Procedure." Ophthalmic Plastic and Reconstructive Surgery, vol. 17, no. 4, 2001, pp. 281-7.
Rougraff PM, Tse DT, Johnson TE, et al. Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthalmic Plast Reconstr Surg. 2001;17(4):281-7.
Rougraff, P. M., Tse, D. T., Johnson, T. E., & Feuer, W. (2001). Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthalmic Plastic and Reconstructive Surgery, 17(4), 281-7.
Rougraff PM, et al. Involutional Entropion Repair With Fornix Sutures and Lateral Tarsal Strip Procedure. Ophthalmic Plast Reconstr Surg. 2001;17(4):281-7. PubMed PMID: 11476179.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. AU - Rougraff,P M, AU - Tse,D T, AU - Johnson,T E, AU - Feuer,W, PY - 2001/7/31/pubmed PY - 2002/1/5/medline PY - 2001/7/31/entrez SP - 281 EP - 7 JF - Ophthalmic plastic and reconstructive surgery JO - Ophthalmic Plast Reconstr Surg VL - 17 IS - 4 N2 - PURPOSE: To evaluate the long-terrm effectiveness of fornix suture placement combined with a lateral tarsal strip procedure in correcting involutional entropion. Published reports regarding various surgical techniques and results are reviewed. METHODS: This retrospective study reviewed 119 patients with involutional lower eyelid entropion who underwent surgical repair between January 1987 and May 1999 at the Bascom Palmer Eye Institute. Exclusion criteria included follow-up duration of less than 6 months, previous lower eyelid blepharoplasty, previous conjunctival surgery other than chalazion removal, or cicatricial entropion. The three surgical subsets were (1) combined lateral tarsal strip and fornix sutures: (2) fornix sutures alone; and (3) lateral tarsal strip procedure alone. The chart review was complemented by a telephone questionnaire to assess the long-term clinical outcome, complications, and patient satisfaction. RESULTS: One hundred fifty-two eyelids in 119 patients were included. One hundred twenty-five eyelids had combined surgery (lateral tarsal strip with fornix sutures), 9 eyelids had only fornix suture repair, and 18 eyelids had repair with only the lateral tarsal strip procedure. The recurrence rate in these three surgical subsets was 1.6%, 33%, and 22%, respectively, with average follow-up of 36 months. One case of incisional cellulitis was encountered. Postoperative ectropion was not seen in the group having the combined lateral tarsal strip and fornix suture procedure. CONCLUSIONS: Suture advancement of the lower eyelid retractors in conjunction with a lateral tarsal strip procedure is a simple, quick, physiologic, and effective approach in achieving long-lasting correction for involutional entropion. SN - 0740-9303 UR - https://www.unboundmedicine.com/medline/citation/11476179/Involutional_entropion_repair_with_fornix_sutures_and_lateral_tarsal_strip_procedure_ L2 - https://doi.org/10.1097/00002341-200107000-00008 DB - PRIME DP - Unbound Medicine ER -