Comparison of three techniques for repair of involutional lower lid entropion: A three-year follow-up study

Michele Altieri, Michele Iester, Francesca Harman, Roberta Bertagno, Paolo Capris, Davide Venzano, Franco Baldi, Gianguido Altieri

Research output: Contribution to journalArticlepeer-review

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 languageEnglish
Pages (from-to)265-272
Number of pages8
JournalOphthalmologica
Volume217
Issue number4
DOIs
Publication statusPublished - 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

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