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The efficacy of the combined procedure in involutional entropion surgery: a comparative study.
Korean J Ophthalmol. 2013 Dec; 27(6):405-8.KJ

Abstract

PURPOSE

To evaluate the efficacy of the combined procedure in the management of involutional entropion.

METHODS

In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsal strip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropion and compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteria included previous lower eyelid surgery and follow-up of less than 6 months.

RESULTS

No patients demonstrated entropion on the first postoperative day. The mean follow-up period was 18.4 months (6 to 52 months) in the Wies group and 22.6 months (6 to 59 months) in the combined procedure group. During the follow-up period, 9 of 31 eyes in the Wies group presented with recurrence and only 1 of 45 eyes in the combined procedure group presented with recurrence (p = 0.001). The average time of recurrence was 4.8 months in the Wies group. Recurrence occurred at 2 months postoperatively in the patient in the combined procedure group. Six of the 9 recurrences in the Wies group were managed by the combined procedure. None of these patients had further recurrence after correction. Three patients complained about a visible incision line after the Wies procedure.

CONCLUSIONS

The combined procedure seems to be more effective than the Wies procedure in the management of involutional entropion. The combined procedure addresses the three major causative factors in involutional entropion and makes it possible to perform the surgery using a small incision.

Authors+Show Affiliations

Eye Clinic, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

24311924

Citation

Serin, Didem, et al. "The Efficacy of the Combined Procedure in Involutional Entropion Surgery: a Comparative Study." Korean Journal of Ophthalmology : KJO, vol. 27, no. 6, 2013, pp. 405-8.
Serin D, Buttanri IB, Karslioglu S, et al. The efficacy of the combined procedure in involutional entropion surgery: a comparative study. Korean J Ophthalmol. 2013;27(6):405-8.
Serin, D., Buttanri, I. B., Karslioglu, S., Sevim, M. S., Buttanri, B., & Akbaba, M. (2013). The efficacy of the combined procedure in involutional entropion surgery: a comparative study. Korean Journal of Ophthalmology : KJO, 27(6), 405-8. https://doi.org/10.3341/kjo.2013.27.6.405
Serin D, et al. The Efficacy of the Combined Procedure in Involutional Entropion Surgery: a Comparative Study. Korean J Ophthalmol. 2013;27(6):405-8. PubMed PMID: 24311924.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The efficacy of the combined procedure in involutional entropion surgery: a comparative study. AU - Serin,Didem, AU - Buttanri,Ibrahim Bulent, AU - Karslioglu,Safak, AU - Sevim,Mehmet Sahin, AU - Buttanri,Bahtinur, AU - Akbaba,Muslime, Y1 - 2013/11/15/ PY - 2013/01/21/received PY - 2013/03/22/accepted PY - 2013/12/7/entrez PY - 2013/12/7/pubmed PY - 2015/4/14/medline KW - Combined procedure KW - Entropion KW - Wies SP - 405 EP - 8 JF - Korean journal of ophthalmology : KJO JO - Korean J Ophthalmol VL - 27 IS - 6 N2 - PURPOSE: To evaluate the efficacy of the combined procedure in the management of involutional entropion. METHODS: In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsal strip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropion and compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteria included previous lower eyelid surgery and follow-up of less than 6 months. RESULTS: No patients demonstrated entropion on the first postoperative day. The mean follow-up period was 18.4 months (6 to 52 months) in the Wies group and 22.6 months (6 to 59 months) in the combined procedure group. During the follow-up period, 9 of 31 eyes in the Wies group presented with recurrence and only 1 of 45 eyes in the combined procedure group presented with recurrence (p = 0.001). The average time of recurrence was 4.8 months in the Wies group. Recurrence occurred at 2 months postoperatively in the patient in the combined procedure group. Six of the 9 recurrences in the Wies group were managed by the combined procedure. None of these patients had further recurrence after correction. Three patients complained about a visible incision line after the Wies procedure. CONCLUSIONS: The combined procedure seems to be more effective than the Wies procedure in the management of involutional entropion. The combined procedure addresses the three major causative factors in involutional entropion and makes it possible to perform the surgery using a small incision. SN - 2092-9382 UR - https://www.unboundmedicine.com/medline/citation/24311924/The_efficacy_of_the_combined_procedure_in_involutional_entropion_surgery:_a_comparative_study_ L2 - https://ekjo.org/DOIx.php?id=10.3341/kjo.2013.27.6.405 DB - PRIME DP - Unbound Medicine ER -