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Comparison of the Recurrence Rate of Entropion via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip with Retractor Advancement Procedure for Involutional Entropion Correction.
J Coll Physicians Surg Pak. 2021 Apr; 30(4):429-433.JC

Abstract

OBJECTIVE

To compare the recurrence rate of entropion via subciliary route and transconjunctival route in combined lateral tarsal strip with retractor advancement procedure for involutional entropion correction.

STUDY DESIGN

Quasi-experimental study.

PLACE AND DURATION OF STUDY

Department of Eye, Combined Military Hospital, Jhelum Cantt, Pakistan from March 2018 to November 2020.

METHODOLOGY

Seventy-eight eyes of 78 patients with entropion were randomly divided into two groups of 39 each. One group underwent a lateral tarsal strip procedure combined with retractor advancement through the subciliary approach; and the second group underwent the same procedure through the transconjunctival approach. A strip of preseptal orbicularis was excised in every case. Recurrence rate of entropion was recorded in both groups at six-month postoperation. Duration of surgery was recorded in each case. Fisher's Exact test was selected to compare the recurrence rate of entropion and independent samples 't' test was elected for comparing duration of surgery among the two groups.

RESULTS

The recurrence rate of entropion with transconjunctival route repair was statistically not significant compared with the subciliary route repair (p>0.999). The transconjunctival route repair achieved statistically significant shorter duration of surgical time as compared to the subciliary route (p<0.001).

CONCLUSION

The transconjunctival approach for involutional entropion correction is as effective as the subciliary approach with lateral tarsal strip and retractor advancement procedure. Surgery duration through the transconjunctival route is significantly shorter as compared to the subciliary approach. Key Words: Entropion, Involutional, Lateral tarsal strip, Lower eyelid, Retractor advancement, Recurrence, Subciliary, Transconjunctival.

Authors+Show Affiliations

Department of Eye, Combined Military Hospital, Jhelum, Pakistan.Department of Eye, Combined Military Hospital, Jhelum, Pakistan.Department of Eye, Combined Military Hospital, Jhelum, Pakistan.Department of Eye, Combined Military Hospital, Jhelum, Pakistan.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

33866729

Citation

Khan, Faisal Aziz, et al. "Comparison of the Recurrence Rate of Entropion Via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip With Retractor Advancement Procedure for Involutional Entropion Correction." Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, vol. 30, no. 4, 2021, pp. 429-433.
Khan FA, Hyder MF, Khan Niazi SP, et al. Comparison of the Recurrence Rate of Entropion via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip with Retractor Advancement Procedure for Involutional Entropion Correction. J Coll Physicians Surg Pak. 2021;30(4):429-433.
Khan, F. A., Hyder, M. F., Khan Niazi, S. P., & Mirza, U. T. (2021). Comparison of the Recurrence Rate of Entropion via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip with Retractor Advancement Procedure for Involutional Entropion Correction. Journal of the College of Physicians and Surgeons--Pakistan : JCPSP, 30(4), 429-433. https://doi.org/10.29271/jcpsp.2021.04.429
Khan FA, et al. Comparison of the Recurrence Rate of Entropion Via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip With Retractor Advancement Procedure for Involutional Entropion Correction. J Coll Physicians Surg Pak. 2021;30(4):429-433. PubMed PMID: 33866729.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Comparison of the Recurrence Rate of Entropion via Subciliary Route and Transconjunctival Route in Combined Lateral Tarsal Strip with Retractor Advancement Procedure for Involutional Entropion Correction. AU - Khan,Faisal Aziz, AU - Hyder,Mohammed Farooq, AU - Khan Niazi,Shafaq Pervez, AU - Mirza,Umair Tariq, PY - 2020/12/20/received PY - 2021/03/05/accepted PY - 2021/4/19/entrez PY - 2021/4/20/pubmed PY - 2021/6/22/medline SP - 429 EP - 433 JF - Journal of the College of Physicians and Surgeons--Pakistan : JCPSP JO - J Coll Physicians Surg Pak VL - 30 IS - 4 N2 - OBJECTIVE: To compare the recurrence rate of entropion via subciliary route and transconjunctival route in combined lateral tarsal strip with retractor advancement procedure for involutional entropion correction. STUDY DESIGN: Quasi-experimental study. PLACE AND DURATION OF STUDY: Department of Eye, Combined Military Hospital, Jhelum Cantt, Pakistan from March 2018 to November 2020. METHODOLOGY: Seventy-eight eyes of 78 patients with entropion were randomly divided into two groups of 39 each. One group underwent a lateral tarsal strip procedure combined with retractor advancement through the subciliary approach; and the second group underwent the same procedure through the transconjunctival approach. A strip of preseptal orbicularis was excised in every case. Recurrence rate of entropion was recorded in both groups at six-month postoperation. Duration of surgery was recorded in each case. Fisher's Exact test was selected to compare the recurrence rate of entropion and independent samples 't' test was elected for comparing duration of surgery among the two groups. RESULTS: The recurrence rate of entropion with transconjunctival route repair was statistically not significant compared with the subciliary route repair (p>0.999). The transconjunctival route repair achieved statistically significant shorter duration of surgical time as compared to the subciliary route (p<0.001). CONCLUSION: The transconjunctival approach for involutional entropion correction is as effective as the subciliary approach with lateral tarsal strip and retractor advancement procedure. Surgery duration through the transconjunctival route is significantly shorter as compared to the subciliary approach. Key Words: Entropion, Involutional, Lateral tarsal strip, Lower eyelid, Retractor advancement, Recurrence, Subciliary, Transconjunctival. SN - 1681-7168 UR - https://www.unboundmedicine.com/medline/citation/33866729/Comparison_of_the_Recurrence_Rate_of_Entropion_via_Subciliary_Route_and_Transconjunctival_Route_in_Combined_Lateral_Tarsal_Strip_with_Retractor_Advancement_Procedure_for_Involutional_Entropion_Correction_ L2 - https://scite.ai/reports/33866729 DB - PRIME DP - Unbound Medicine ER -