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Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate.
Orbit. 2018 Apr; 37(2):121-124.O

Abstract

PURPOSE

To evaluate a modified surgical technique for the correction of lower eyelid involutional entropion in terms of recurrence rate and relief of symptoms.

METHOD

A prospective series of 67 consecutive eyelids in 55 patients who underwent lower eyelid entropion repair using a modified surgical approach not previously published in the literature to the authors' knowledge. The surgical technique, via a skin crease incision, involves disinsertion of the lower eyelid retractors from the tarsus and conjunctiva and suturing the retractors onto the anterior surface of the tarsal plate. Standard excision of redundant lower lid skin and orbicularis muscle was also performed as well as lateral canthal tendon repair. All procedures were performed by a single surgeon (B. A. O'donnell). This study adhered to the principles of the Declaration of Helsinki.

RESULTS

There were 67 eyelids with a minimum of 12 months follow-up: of these only 1 patient (1%) required revision surgery (average follow-up 24 months). Four other eyelids had persistent or recurrent irritation (6%) not suggestive of, or secondary to, recurrence. Seven eyelids (10%) had undergone previous operative repair with no further recurrence following their most recent surgery.

CONCLUSION

Disinsertion and reattachment of the retractors to the anterior tarsal plate in lower eyelid entropion repair is an effective surgical technique to improve lower eyelid stability. Although minimum follow-up is 12 months and average follow-up 24 months, longer follow-up would further evaluate this technique.

Authors+Show Affiliations

a Department of Ophthalmology , Royal North Shore Hospital , Sydney , NSW , Australia.a Department of Ophthalmology , Royal North Shore Hospital , Sydney , NSW , Australia. b Department of Ophthalmology , St. Vincent's Hospital , Sydney , NSW , Australia.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

29040033

Citation

Athavale, Dnyaneshwar D., and Brett A. O'donnell. "Lower Eyelid Entropion Repair With Retractor Mobilization and Insertion Onto the Anterior Surface of the Tarsal Plate." Orbit (Amsterdam, Netherlands), vol. 37, no. 2, 2018, pp. 121-124.
Athavale DD, O'donnell BA. Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate. Orbit. 2018;37(2):121-124.
Athavale, D. D., & O'donnell, B. A. (2018). Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate. Orbit (Amsterdam, Netherlands), 37(2), 121-124. https://doi.org/10.1080/01676830.2017.1383450
Athavale DD, O'donnell BA. Lower Eyelid Entropion Repair With Retractor Mobilization and Insertion Onto the Anterior Surface of the Tarsal Plate. Orbit. 2018;37(2):121-124. PubMed PMID: 29040033.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate. AU - Athavale,Dnyaneshwar D, AU - O'donnell,Brett A, Y1 - 2017/10/17/ PY - 2017/10/19/pubmed PY - 2018/7/22/medline PY - 2017/10/18/entrez KW - Entropion KW - Jones plication KW - recurrence SP - 121 EP - 124 JF - Orbit (Amsterdam, Netherlands) JO - Orbit VL - 37 IS - 2 N2 - PURPOSE: To evaluate a modified surgical technique for the correction of lower eyelid involutional entropion in terms of recurrence rate and relief of symptoms. METHOD: A prospective series of 67 consecutive eyelids in 55 patients who underwent lower eyelid entropion repair using a modified surgical approach not previously published in the literature to the authors' knowledge. The surgical technique, via a skin crease incision, involves disinsertion of the lower eyelid retractors from the tarsus and conjunctiva and suturing the retractors onto the anterior surface of the tarsal plate. Standard excision of redundant lower lid skin and orbicularis muscle was also performed as well as lateral canthal tendon repair. All procedures were performed by a single surgeon (B. A. O'donnell). This study adhered to the principles of the Declaration of Helsinki. RESULTS: There were 67 eyelids with a minimum of 12 months follow-up: of these only 1 patient (1%) required revision surgery (average follow-up 24 months). Four other eyelids had persistent or recurrent irritation (6%) not suggestive of, or secondary to, recurrence. Seven eyelids (10%) had undergone previous operative repair with no further recurrence following their most recent surgery. CONCLUSION: Disinsertion and reattachment of the retractors to the anterior tarsal plate in lower eyelid entropion repair is an effective surgical technique to improve lower eyelid stability. Although minimum follow-up is 12 months and average follow-up 24 months, longer follow-up would further evaluate this technique. SN - 1744-5108 UR - https://www.unboundmedicine.com/medline/citation/29040033/Lower_eyelid_entropion_repair_with_retractor_mobilization_and_insertion_onto_the_anterior_surface_of_the_tarsal_plate_ L2 - https://www.tandfonline.com/doi/full/10.1080/01676830.2017.1383450 DB - PRIME DP - Unbound Medicine ER -