Korean J Ophthalmol.  2013 Dec;27(6):405-408. 10.3341/kjo.2013.27.6.405.

The Efficacy of the Combined Procedure in Involutional Entropion Surgery: A Comparative Study

• Serin D
• Buttanri I
• Karslioglu S
• Sevim MS
• Buttanri B
• Akbaba M

• KMID: 1792074
• DOI: http://doi.org/10.3341/kjo.2013.27.6.405

Abstract

PURPOSE
To evaluate the efficacy of the combined procedure in the management of involutional entropion.
METHODS
In this study, we reviewed 45 eyes of 36 patients who underwent the combined procedure (lateral tarsal strip, retractor tightening, and everting sutures) for the management of involutional lower eyelid entropion and compared the results with 31 eyes of 25 patients who underwent the Wies procedure. Exclusion criteria included previous lower eyelid surgery and follow-up of less than 6 months.
RESULTS
No patients demonstrated entropion on the first postoperative day. The mean follow-up period was 18.4 months (6 to 52 months) in the Wies group and 22.6 months (6 to 59 months) in the combined procedure group. During the follow-up period, 9 of 31 eyes in the Wies group presented with recurrence and only 1 of 45 eyes in the combined procedure group presented with recurrence (p = 0.001). The average time of recurrence was 4.8 months in the Wies group. Recurrence occurred at 2 months postoperatively in the patient in the combined procedure group. Six of the 9 recurrences in the Wies group were managed by the combined procedure. None of these patients had further recurrence after correction. Three patients complained about a visible incision line after the Wies procedure.
CONCLUSIONS
The combined procedure seems to be more effective than the Wies procedure in the management of involutional entropion. The combined procedure addresses the three major causative factors in involutional entropion and makes it possible to perform the surgery using a small incision.

Keyword

Combined procedure; Entropion; Wies

MeSH Terms

Adult
Aged
Blepharoplasty/*methods
Entropion/*surgery
Eyelids/*surgery
Female
Follow-Up Studies
Humans
Male
Middle Aged
Recurrence
Retrospective Studies
Suture Techniques/*instrumentation
*Sutures
Treatment Outcome

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