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A small incision technique for repairing involutional lower eyelid entropion.
Int Ophthalmol. 2020 Feb; 40(2):281-285.IO

Abstract

PURPOSE

The objective of this paper is to describe and review our experience with Goldberg's small incision technique for use with involutional entropion.

METHODS

Retrospective consecutive interventional case series with validated late surgical outcomes were reported. All involutional entropion cases with horizontal laxity of less than 8 mm were repaired with a small incision technique. Retractors were separated from the tarsus by blunt dissection made from three 4 mm horizontal incisions. Three 6-0 double-armed polyglactin sutures were used to tighten retractors and the orbicularis oculi muscle. The sutures were removed 3 weeks postoperatively or earlier if overcorrection continued during the first week of the postoperative period. Data were obtained for a postoperative follow-up period of at least 24 months.

RESULTS

A total of thirty-seven lower eyelids from thirty-one patients with involutional entropion were included in the study. Primary operations were performed on 31 eyelids and reoperations on six eyelids. The mean follow-up time was 40 ± 11 months. Thirty-six (97.3%) of the eyelids had no recurrence. As overcorrection was seen postoperatively in ten eyelids (27%), a number of sutures had to be removed earlier than planned. The ectropion eventually resolved, and no recurrence was seen during follow-up in these patients.

CONCLUSIONS

In our practice, the small incision technique has been highly effective in involutional entropion repair, with minimal complications. Although this approach does not directly address lateral canthal tendon laxity, the procedure has the advantages of being easy to learn and also that it can be combined with other procedures for tendon laxity.

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Authors+Show Affiliations

Ilhan HD
Department of Ophthalmology, Akdeniz University, 07058, Antalya, Turkey. drdenizilhan@gmail.com.
Yaman A
Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.
Soylev Bajin M
Department of Ophthalmology, Dokuz Eylul University, Izmir, Turkey.

MeSH

AgedAged, 80 and overEntropionEyelidsFemaleFollow-Up StudiesHumansMaleMiddle AgedOphthalmologic Surgical ProceduresReoperationRetrospective StudiesSuture TechniquesSuturesTreatment Outcome

Pub Type(s)

Journal Article
Multicenter Study

Language

eng

PubMed ID

31606822

Citation

Ilhan, Hatice Deniz, et al. "A Small Incision Technique for Repairing Involutional Lower Eyelid Entropion." International Ophthalmology, vol. 40, no. 2, 2020, pp. 281-285.
Ilhan HD, Yaman A, Soylev Bajin M. A small incision technique for repairing involutional lower eyelid entropion. Int Ophthalmol. 2020;40(2):281-285.
Ilhan, H. D., Yaman, A., & Soylev Bajin, M. (2020). A small incision technique for repairing involutional lower eyelid entropion. International Ophthalmology, 40(2), 281-285. https://doi.org/10.1007/s10792-019-01172-y
Ilhan HD, Yaman A, Soylev Bajin M. A Small Incision Technique for Repairing Involutional Lower Eyelid Entropion. Int Ophthalmol. 2020;40(2):281-285. PubMed PMID: 31606822.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - A small incision technique for repairing involutional lower eyelid entropion. AU - Ilhan,Hatice Deniz, AU - Yaman,Aylin, AU - Soylev Bajin,Meltem, Y1 - 2019/10/12/ PY - 2018/12/21/received PY - 2019/09/19/accepted PY - 2019/10/14/pubmed PY - 2021/1/8/medline PY - 2019/10/14/entrez KW - Entropion KW - Involutional KW - Lower eyelid KW - Small incision SP - 281 EP - 285 JF - International ophthalmology JO - Int Ophthalmol VL - 40 IS - 2 N2 - PURPOSE: The objective of this paper is to describe and review our experience with Goldberg's small incision technique for use with involutional entropion. METHODS: Retrospective consecutive interventional case series with validated late surgical outcomes were reported. All involutional entropion cases with horizontal laxity of less than 8 mm were repaired with a small incision technique. Retractors were separated from the tarsus by blunt dissection made from three 4 mm horizontal incisions. Three 6-0 double-armed polyglactin sutures were used to tighten retractors and the orbicularis oculi muscle. The sutures were removed 3 weeks postoperatively or earlier if overcorrection continued during the first week of the postoperative period. Data were obtained for a postoperative follow-up period of at least 24 months. RESULTS: A total of thirty-seven lower eyelids from thirty-one patients with involutional entropion were included in the study. Primary operations were performed on 31 eyelids and reoperations on six eyelids. The mean follow-up time was 40 ± 11 months. Thirty-six (97.3%) of the eyelids had no recurrence. As overcorrection was seen postoperatively in ten eyelids (27%), a number of sutures had to be removed earlier than planned. The ectropion eventually resolved, and no recurrence was seen during follow-up in these patients. CONCLUSIONS: In our practice, the small incision technique has been highly effective in involutional entropion repair, with minimal complications. Although this approach does not directly address lateral canthal tendon laxity, the procedure has the advantages of being easy to learn and also that it can be combined with other procedures for tendon laxity. SN - 1573-2630 UR - https://www.unboundmedicine.com/medline/citation/31606822/A_small_incision_technique_for_repairing_involutional_lower_eyelid_entropion_ L2 - https://doi.org/10.1007/s10792-019-01172-y DB - PRIME DP - Unbound Medicine ER -