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Involutional lower eyelid entropion: combined Wheeler's and Wedge resection of tarsal plate.
West Afr J Med. 2010 Mar-Apr; 29(2):117-9.WA

Abstract

BACKGROUND

Involutional entropion, a common eyelid condition, has different methods of surgical correction and attendant variable recurrence rates, depending to a large degree on the method used.

OBJECTIVE

To describe and evaluate a modified technique of entropion repair where the Wheeler's method is combined with wedge resection of the tarsal plate.

METHODS

This was a chart review study of 49 patients who had the modified technique carried out to correct their involutional entropion. The technique essentially involves dissecting and separating the lower lid pre-tarsal orbicularis muscle from the tarsal plate, resecting a down-base triangular wedge of the tarsus followed by shortening the orbicularis and anchoring it to the tarsal plate superiorly.

RESULTS

Over the three and a half-year review period, 54 eyelids of 49 patients underwent the procedure to correct their lower eyelid entropion. Of these, 28(57%) were females and 21(43%) males with a mean age of 73.5 years. The mean follow up period was 30.3 months. One (1.9%) recurrence was recorded in all the cases during the follow-up period. Complications were minimal.

CONCLUSION

The combined Wheeler and wedge resection of the tarsal plate produces very good post-operative results and can be used in primary involutional entropion or as the procedure of choice if an initial different surgical technique used fails.

Authors+Show Affiliations

Royle Eye Department, Pilgrim Hospital, Boston, England. akikio771@hotmail.comNo affiliation info availableNo affiliation info available

Pub Type(s)

Evaluation Study
Journal Article

Language

eng

PubMed ID

20544638

Citation

Olali, C, et al. "Involutional Lower Eyelid Entropion: Combined Wheeler's and Wedge Resection of Tarsal Plate." West African Journal of Medicine, vol. 29, no. 2, 2010, pp. 117-9.
Olali C, Burton V, Samalila E. Involutional lower eyelid entropion: combined Wheeler's and Wedge resection of tarsal plate. West Afr J Med. 2010;29(2):117-9.
Olali, C., Burton, V., & Samalila, E. (2010). Involutional lower eyelid entropion: combined Wheeler's and Wedge resection of tarsal plate. West African Journal of Medicine, 29(2), 117-9.
Olali C, Burton V, Samalila E. Involutional Lower Eyelid Entropion: Combined Wheeler's and Wedge Resection of Tarsal Plate. West Afr J Med. 2010 Mar-Apr;29(2):117-9. PubMed PMID: 20544638.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Involutional lower eyelid entropion: combined Wheeler's and Wedge resection of tarsal plate. AU - Olali,C, AU - Burton,V, AU - Samalila,E, PY - 2010/6/15/entrez PY - 2010/6/15/pubmed PY - 2010/10/27/medline SP - 117 EP - 9 JF - West African journal of medicine JO - West Afr J Med VL - 29 IS - 2 N2 - BACKGROUND: Involutional entropion, a common eyelid condition, has different methods of surgical correction and attendant variable recurrence rates, depending to a large degree on the method used. OBJECTIVE: To describe and evaluate a modified technique of entropion repair where the Wheeler's method is combined with wedge resection of the tarsal plate. METHODS: This was a chart review study of 49 patients who had the modified technique carried out to correct their involutional entropion. The technique essentially involves dissecting and separating the lower lid pre-tarsal orbicularis muscle from the tarsal plate, resecting a down-base triangular wedge of the tarsus followed by shortening the orbicularis and anchoring it to the tarsal plate superiorly. RESULTS: Over the three and a half-year review period, 54 eyelids of 49 patients underwent the procedure to correct their lower eyelid entropion. Of these, 28(57%) were females and 21(43%) males with a mean age of 73.5 years. The mean follow up period was 30.3 months. One (1.9%) recurrence was recorded in all the cases during the follow-up period. Complications were minimal. CONCLUSION: The combined Wheeler and wedge resection of the tarsal plate produces very good post-operative results and can be used in primary involutional entropion or as the procedure of choice if an initial different surgical technique used fails. SN - 0189-160X UR - https://www.unboundmedicine.com/medline/citation/20544638/Involutional_lower_eyelid_entropion:_combined_Wheeler's_and_Wedge_resection_of_tarsal_plate_ DB - PRIME DP - Unbound Medicine ER -