J Korean Ophthalmol Soc.  2012 Sep;53(9):1213-1218. 10.3341/jkos.2012.53.9.1213.

Lateral Tarsal Strip Procedure Combined with Quickert Sutures in Correcting Involutional Entropion

Affiliations
  • 1Sungmo Eye Hospital, Busan, Korea. rhoahn@yahoo.co.kr

Abstract

PURPOSE
To evaluate long-term effectiveness of lateral tarsal strip procedure combined with Quickert sutures in correcting involutional entropion.
METHODS
The retrospective study reviewed 82 eyes of 71 patients with involutional entropion whose follow-up period was more than 6 months among patients who underwent lateral tarsal strip procedure combined with Quickert sutures between February 2003 and February 2010.
RESULTS
The postoperative follow-up period was 6 months to 78 months (average 40.2 months) and the average age was 63.5 years. Out of 82 eyes, 3 eyes recurred and the recurrence rate in the lateral tarsal strip procedure combined with Quickert sutures was 3.6%; postoperative overcorrection was not observed. Out of the 3 recurrence cases, 2 eyes both recurred 6 months after the operation and were treated by Quickert sutures alone with no recurrence. The other case recurred 1 year and 4 months after lateral tarsal strip procedure combined with Quickert sutures and was corrected by this operation again. There was no recurrence for a follow-up period of 2 years.
CONCLUSIONS
An effective approach was obtained during long-term follow-up when lateral tarsal strip procedure combined with Quickert sutures was conducted as repairing operations in involutional entropion. The approach showed lower recurrence rate than the existing reports of operations such as lateral tarsal strip procedure or Quickert sutures when conducted alone and provided long-lasting effectiveness in the correction of involutional entropion.

Keyword

Involutional entropion; Lateral tarsal strip procedure; Quickert sutures

MeSH Terms

Entropion
Eye
Follow-Up Studies
Humans
Recurrence
Retrospective Studies
Sutures

Figure

  • Figure 1 Lateral tarsal strip procedure combined with Quickert sutures. Lateral tarsal strip procedure and Quickert sutures were done on the patient who had horizontal lid laxity.

  • Figure 2 (A) Preoperative photograph (B) Postoperative photograph (1 week after lateral tarsal strip procedure combined with Quickert sutures) (C) Postoperative photograph (1 year after lateral tarsal strip procedure combined with Quickert sutures).


Cited by  3 articles

Quickert Suture Using Nonabsorbable Suture Material for Lower Lid Entropion
Youn Joo Ko, Ho Chang Kim
J Korean Ophthalmol Soc. 2014;55(12):1739-1744.    doi: 10.3341/jkos.2014.55.12.1739.

Clinical Effectiveness of the Lateral Tarsal Strip Procedure
Kun Hoo Na, Joon Sik Lee, Hwa Lee, Se Hyun Baek
J Korean Ophthalmol Soc. 2015;56(6):803-810.    doi: 10.3341/jkos.2015.56.6.803.

Effectiveness of Combined Surgery Simultaneously Correcting 3 Main Causes of Involutional Entropion
Sung Won Yang, Jin Hwan Park, Jun Sik Lee, Hwa Lee, Se Hyun Baek
J Korean Ophthalmol Soc. 2016;57(3):347-352.    doi: 10.3341/jkos.2016.57.3.347.


Reference

1. Nesi FA, Gladstone GJ, Brazzo BG, et al. Ophthalmic and Facial Plastic Surgery : A Compendium of Reconstructive and Aesthetic Techniques. 2001. Thorofare, NJ: Slack Incorporated;83–89.
2. Levine MR, El-Toukhy E, Schaefer AJ. Smith BC, Levine MR, Nesi FA, Lisman RD, editors. Involutional entropion. Ophthalmic Plastic and Reconstructive Surgery. 1998. v. 1. St. Louis: Mosby;chap. 12.
3. Ha JK, Kim YS, Sohn MA. Surgical treatment of sensile entropion. J Korean Ophthalmol Soc. 1998. 39:631–636.
4. Jones LT, Reeh MJ, Wobig JL. Senile entropion. A new concept for correction. Am J Ophthalmol. 1972. 74:327–329.
5. Clarke JR, Spalton DJ. Treatment of senile entropion with botulinum toxin. Br J Ophthalmol. 1988. 72:361–362.
6. Irvine S, Francis IC, Bishop AE, Baxter J. The entropion patch: a method of temporarily correcting involutional entropion with adhesive tape. Ophthalmic Surg. 1994. 25:604–606.
7. Kim JY, Kim YD. Surgical correction of senile entropion. J Korean Ophthalmol Soc. 1992. 33:1015–1020.
8. Hotz FC. A new operation for entropion and trichiasis. Arch Ophthalmol. 1879. 8:249–263.
9. JONES LT. An anatomical approach to problems of the eyelids and lacrimal apparatus. Arch Ophthalmol. 1961. 66:111–124.
10. Wesley RE, Collins JW. Combined procedure for senile entropion. Ophthalmic Surg. 1983. 14:401–405.
11. Schaefer AJ. Variation in the pathophysiology of involutional entropion and its treatment. Ophthalmic Surg. 1983. 14:653–655.
12. Dortzbach RK, Mcgetrrick JJ. Involutional entropion of the lower eyelid. Adv Ophthalmic Plast Reconstr Surg. 1983. 2:257–267.
13. Hargiss JL. Inferior aponeurosis vs orbital septum tucking for senile entropion. Arch Ophthalmol. 1973. 89:210–213.
14. Hurwitz JJ. Senile entropion: the importance of eyelid laxity. Can J Ophthalmol. 1983. 18:235–237.
15. Bick MW. Surgical management of orbital tarsal disparity. Arch Ophthalmol. 1966. 75:386–389.
16. Hedin A. Senile entropion - cure rate by retractor tightening and horizontal shortening. Acta Ophthalmol Scand. 1997. 75:443–446.
17. Anderson RL, Gordy DD. The tarsal strip procedure. Arch Ophthalmol. 1979. 97:2192–2196.
18. Wheeler JM. Spastic entropion correction by orbicularis transplantation. Trans Am Ophthalmol Soc. 1938. 36:157–162.
19. Rougraff PM, Tse DT, Johnson TE, Feuer W. Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthal Plast Reconstr Surg. 2001. 17:281–287.
20. Scheepers MA, Singh R, Ng J, et al. A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion. Ophthalmology. 2010. 117:352–355.
21. Yoon JM, Kim SA, Roh JH. Clinical results of different surgical procedures in correcting involutional entropion. J Korean Ophthalmol Soc. 2008. 49:1877–1887.
22. Bae SH, Kim MJ, Choi YJ, Kim SJ. The effect of involutional entropion surgery: Quickert-Rathbun suture. J Korean Ophthalmol Soc. 2005. 46:1103–1107.
23. Jones LT. An anatomical approach to problems of the eyelids and lacrimal apparatus. Arch Ophthalmol. 1961. 66:111–124.
24. Dresner SC, Karesh JW. Transconjunctival entropion repair. Arch Ophthalmol. 1993. 111:1144–1148.
25. Carroll RP, Allen SE. Combined procedure for repair of involutional entropion. Ophthal Plast Reconstr Surg. 1991. 7:123–127.
26. Chung WS, Jeon SW. Surgical treatment of involutional entropion. J Korean Ophthalmol Soc. 1992. 33:18–22.
27. Ahn Y, Kang IS. Correction of involutional entropion by the amount of lower eyelid laxity. J Korean Ophthalmol Soc. 1999. 40:596–602.
28. Quickert MH, Rathburn E. Suture repair of entropion. Arch Ophthalmol. 1971. 85:304–305.
29. Bick MW. Surgical management of orbital tarsal disparity. Arch Ophthalmol. 1966. 75:386–389.
30. Levine MR. Involutional entropion. Ophthalmic Pract. 1987. 5:118–139.
31. Anderson RL, Gordy DD. The tarsal strip procedure. Arch Ophthalmol. 1979. 97:2192–2196.
32. Jackson ST. Surgery for involutional entropion. Ophthalmic Surg. 1983. 14:322–326.
33. Martin RT, Nunery WR, Tannebaum M. McCord CD, Tanenbaum M, Nunery WR, editors. Entropion, trichiasis, and distichiasis. Oculoplastic Surgery. 1995. v. 1:3rd ed. New York: Raven Press;chap. 8.
34. Hecht SD. Bowlegs procedure for recurrent and primary senile entropion. Ann Ophthalmol. 1981. 13:119–120.
35. Saunders DH, Shannon GM, Nicolitz E. The "corncrib" repair of senile entropion. Ophthalmic Surg. 1980. 11:128–130.
36. Tenzel RR, Buffam FV, Miller GR. The use of the "lateral canthal sling" in ectropion repair. Can J Ophthalmol. 1977. 12:199–202.
37. Benger RS, Musch DC. A comparative study of eyelid parameters in involutional entropion. Ophthal Plast Reconstr Surg. 1989. 5:281–287.
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