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A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion.
Acta Ophthalmol. 2019 Sep; 97(6):e933-e936.AO

Abstract

BACKGROUND/AIMS

To provide evidence of statistically significant difference in the surgical outcome of the lateral tarsal strip with everting sutures (LTS + ES) versus the Quickert procedure (QP) in the treatment of involutional entropion.

METHODS

In a prospective randomized comparative trial, 66 eyelids of 52 patients with primary involutional lower eyelid entropion were recruited. Thirty-six eyelids were randomized to QP, and 30 eyelids were randomized to LTS + ES. Surgery was performed by a single surgeon. Postoperative follow-up was scheduled after 2 weeks, 8 and 14 months. Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on forced eyelid closure at or before the 14-month follow-up visit.

RESULTS

A total of 66 eyelids of 52 patients were enrolled in the study. Three patients did not complete follow-up (1 did not attend the 8 months follow-up visit; 2 did not attend 14 months follow-up visit). Of the 63 patients, a single eyelid [success probability 0.97; confidence interval (CI) 0.92-1] in the QP group and two treated eyelids [success probability of 0.93; CI: 0.85-1] in the LTS + ES group had a recurrence of a lower eyelid entropion after 14 months. There was no statistically significant difference in surgical failure between the LTS + ES versus QP (Log-rank test: p = 0.46).

CONCLUSION

These data provide strong evidence that success rates at 14 months are similar in patients treated with either techniques (LTS + ES versus QP).

Authors+Show Affiliations

Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.Department of Ophthalmology, University Hospital Hamburg-Eppendorf, Hamburg, Germany.Department of Ophthalmology, Asklepios Clinic Barmbek, Hamburg, Germany.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

30916886

Citation

Dulz, Simon, et al. "A Comparison of the Lateral Tarsal Strip With Everting Sutures and the Quickert Procedure for Involutional Entropion." Acta Ophthalmologica, vol. 97, no. 6, 2019, pp. e933-e936.
Dulz S, Green S, Mehlan J, et al. A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion. Acta Ophthalmol. 2019;97(6):e933-e936.
Dulz, S., Green, S., Mehlan, J., Schüttauf, F., & Keserü, M. (2019). A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion. Acta Ophthalmologica, 97(6), e933-e936. https://doi.org/10.1111/aos.14093
Dulz S, et al. A Comparison of the Lateral Tarsal Strip With Everting Sutures and the Quickert Procedure for Involutional Entropion. Acta Ophthalmol. 2019;97(6):e933-e936. PubMed PMID: 30916886.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion. AU - Dulz,Simon, AU - Green,Sylvia, AU - Mehlan,Juliane, AU - Schüttauf,Frank, AU - Keserü,Matthias, Y1 - 2019/03/27/ PY - 2018/12/26/received PY - 2019/03/03/accepted PY - 2019/3/28/pubmed PY - 2019/9/4/medline PY - 2019/3/28/entrez KW - Quickert procedure KW - eyelid KW - involutional entropion KW - lateral tarsal strip with everting sutures SP - e933 EP - e936 JF - Acta ophthalmologica JO - Acta Ophthalmol VL - 97 IS - 6 N2 - BACKGROUND/AIMS: To provide evidence of statistically significant difference in the surgical outcome of the lateral tarsal strip with everting sutures (LTS + ES) versus the Quickert procedure (QP) in the treatment of involutional entropion. METHODS: In a prospective randomized comparative trial, 66 eyelids of 52 patients with primary involutional lower eyelid entropion were recruited. Thirty-six eyelids were randomized to QP, and 30 eyelids were randomized to LTS + ES. Surgery was performed by a single surgeon. Postoperative follow-up was scheduled after 2 weeks, 8 and 14 months. Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on forced eyelid closure at or before the 14-month follow-up visit. RESULTS: A total of 66 eyelids of 52 patients were enrolled in the study. Three patients did not complete follow-up (1 did not attend the 8 months follow-up visit; 2 did not attend 14 months follow-up visit). Of the 63 patients, a single eyelid [success probability 0.97; confidence interval (CI) 0.92-1] in the QP group and two treated eyelids [success probability of 0.93; CI: 0.85-1] in the LTS + ES group had a recurrence of a lower eyelid entropion after 14 months. There was no statistically significant difference in surgical failure between the LTS + ES versus QP (Log-rank test: p = 0.46). CONCLUSION: These data provide strong evidence that success rates at 14 months are similar in patients treated with either techniques (LTS + ES versus QP). SN - 1755-3768 UR - https://www.unboundmedicine.com/medline/citation/30916886/A_comparison_of_the_lateral_tarsal_strip_with_everting_sutures_and_the_Quickert_procedure_for_involutional_entropion_ L2 - https://doi.org/10.1111/aos.14093 DB - PRIME DP - Unbound Medicine ER -