Abstract
Objective: The aim of this study was to quantify the efficacy of three different surgical techniques for entropion repair in a 3-year follow-up study: (1) the Fox procedure, (2) everting sutures and (3) a modified technique of lower lid retractor plication. Methods: We included in our study 32 eyelids of 32 consecutive patients with involutional lower lid entropion; 10 lids underwent the Fox procedure, 13 the everting sutures and 9 the modified retractor plication. We evaluated the pre- and postoperative horizontal lid laxity (HLL), the pre- and postoperative lower lid excursion (LLE) and the number of recurrences in each patient group. Statistical analysis was performed with the non-parametric Mann-Whitney test and the exact Fisher's test where appropriate. Results: Only the modified retractor plication technique showed statistically significant differences in HLL and LLE (p <0.05). In the group treated with this technique, there was a lower incidence of entropion recurrence (p <0.05). The everting suture technique showed a statistically significant improvement of the LLE only (p <0.05). The Fox procedure did not show any statistically significant improvement of the studied parameters. Conclusions: The modified retractor plication technique gave the best results in terms of improvement of HLL and LLE and a lower incidence of entropion recurrence compared to the two other techniques studied.
Original language | English |
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Pages (from-to) | 265-272 |
Number of pages | 8 |
Journal | Ophthalmologica |
Volume | 217 |
Issue number | 4 |
DOIs | |
Publication status | Published - 2003 |
Keywords
- Entropion
- Everting sutures
- Horizontal lid laxity
- Lower lid excursion
- Lower lid retractor
- Orbital septum
- Retractor plication
- Tarsus
- Vertical lid laxity
ASJC Scopus subject areas
- Ophthalmology