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Simple effective surgery for involutional entropion suitable for the general ophthalmologist.
Ophthalmology. 2006 Jan; 113(1):92-6.O

Abstract

OBJECTIVE

To compare the long-term success, recurrence, and complication rate of involutional entropion surgery using the lateral tarsal strip and everting sutures when performed by surgeons in training (resident or fellow) and specialist oculoplastic surgeons (attending supervising physician).

DESIGN

Prospective, interventional, comparative, clinical case series.

PARTICIPANTS

Adult patients with involutional entropion.

METHODS

Lateral tarsal strip and everting sutures (LTS+ES) by residents, fellows, or attending supervising physician. A minimum of 12 months of postoperative follow-up was required.

MAIN OUTCOME MEASURES

Patients' symptoms and clinical examination to confirm a normal eyelid position (no entropion or secondary ectropion) at rest and with forced orbicularis contraction with the topical amethocaine (tetracaine) test. This test is described.

RESULTS

Fifty-five consecutive patients, aged 57 to 91 years (mean, 77 years) underwent LTS+ES surgery on 62 eyelids. Surgery was performed by a consultant ophthalmic oculoplastic surgeon (attending supervising physician) in 8 eyelids and by 20 different trainees, residents, and fellows in 54 eyelids. Six patients died (11%) within 6 months of surgery and 2 patients (3.5%) were lost to follow-up, resulting in 47 evaluable patients (54 eyelids). The follow-up period was 12 to 34 months (mean, 18 months). Fifty-three of 54 eyelids (98%) had a successful outcome with no recurrence. The surgery was effective when performed by different grades of surgeon (P>0.4).

CONCLUSIONS

The LTS+ES is a simple operation for the correction of involutional entropion that can be performed effectively by both residents and fellows.

Authors+Show Affiliations

Oculoplastic and Orbital Service, Charing Cross Hospital, London, United Kingdom.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

16309743

Citation

Barnes, J A., et al. "Simple Effective Surgery for Involutional Entropion Suitable for the General Ophthalmologist." Ophthalmology, vol. 113, no. 1, 2006, pp. 92-6.
Barnes JA, Bunce C, Olver JM. Simple effective surgery for involutional entropion suitable for the general ophthalmologist. Ophthalmology. 2006;113(1):92-6.
Barnes, J. A., Bunce, C., & Olver, J. M. (2006). Simple effective surgery for involutional entropion suitable for the general ophthalmologist. Ophthalmology, 113(1), 92-6.
Barnes JA, Bunce C, Olver JM. Simple Effective Surgery for Involutional Entropion Suitable for the General Ophthalmologist. Ophthalmology. 2006;113(1):92-6. PubMed PMID: 16309743.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Simple effective surgery for involutional entropion suitable for the general ophthalmologist. AU - Barnes,J A, AU - Bunce,C, AU - Olver,Jane M, Y1 - 2005/11/23/ PY - 2004/11/03/received PY - 2005/06/01/accepted PY - 2005/11/29/pubmed PY - 2006/1/13/medline PY - 2005/11/29/entrez SP - 92 EP - 6 JF - Ophthalmology JO - Ophthalmology VL - 113 IS - 1 N2 - OBJECTIVE: To compare the long-term success, recurrence, and complication rate of involutional entropion surgery using the lateral tarsal strip and everting sutures when performed by surgeons in training (resident or fellow) and specialist oculoplastic surgeons (attending supervising physician). DESIGN: Prospective, interventional, comparative, clinical case series. PARTICIPANTS: Adult patients with involutional entropion. METHODS: Lateral tarsal strip and everting sutures (LTS+ES) by residents, fellows, or attending supervising physician. A minimum of 12 months of postoperative follow-up was required. MAIN OUTCOME MEASURES: Patients' symptoms and clinical examination to confirm a normal eyelid position (no entropion or secondary ectropion) at rest and with forced orbicularis contraction with the topical amethocaine (tetracaine) test. This test is described. RESULTS: Fifty-five consecutive patients, aged 57 to 91 years (mean, 77 years) underwent LTS+ES surgery on 62 eyelids. Surgery was performed by a consultant ophthalmic oculoplastic surgeon (attending supervising physician) in 8 eyelids and by 20 different trainees, residents, and fellows in 54 eyelids. Six patients died (11%) within 6 months of surgery and 2 patients (3.5%) were lost to follow-up, resulting in 47 evaluable patients (54 eyelids). The follow-up period was 12 to 34 months (mean, 18 months). Fifty-three of 54 eyelids (98%) had a successful outcome with no recurrence. The surgery was effective when performed by different grades of surgeon (P>0.4). CONCLUSIONS: The LTS+ES is a simple operation for the correction of involutional entropion that can be performed effectively by both residents and fellows. SN - 1549-4713 UR - https://www.unboundmedicine.com/medline/citation/16309743/Simple_effective_surgery_for_involutional_entropion_suitable_for_the_general_ophthalmologist_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0161-6420(05)00930-9 DB - PRIME DP - Unbound Medicine ER -