Two-paired Mini-incisional Entropion Surgery for Involutional Entropion

Ophthalmic Plast Reconstr Surg. 2021 Sep-Oct;37(5):457-461. doi: 10.1097/IOP.0000000000001914.

Abstract

Purpose: The aim of this study is to describe "2-paired mini-incisional entropion surgery" for involutional entropion.

Methods: This study was a retrospective single-surgeon case series. Patients who underwent different entropion surgeries were reviewed. Patients with involutional entropion were divided into 3 groups according to the type of surgery performed by a single surgeon: 2-paired mini-incisional entropion surgery; transconjunctival retractor reinsertion; or transcutaneous retractor reinsertion. Patients were followed up to 35 months after the surgery. Operation time, complications, and success were compared between groups.

Results: Sixty-six lower eyelids of 60 patients were evaluated. The recurrence was 7.7% in the transcutaneous group, was 5.9% in the 2-paired mini-incisional entropion surgery group, and was 5.3% in the transconjunctival group. The total chance of success in 24-month period was 94.7% in the transconjunctival approach group, was 94.1% in the 2-paired mini-incisional entropion surgery group, and was 92.3% in the transcutaneous group.

Conclusion: The 2-paired mini-incisional entropion surgery can be used for entropion repair alone or in combination with horizontal tightening surgeries.

MeSH terms

  • Entropion* / surgery
  • Eyelids / surgery
  • Humans
  • Operative Time
  • Recurrence
  • Retrospective Studies
  • Treatment Outcome