A Randomized Controlled Trial Comparing Everting Sutures with Everting Sutures and a Lateral Tarsal Strip for Involutional Entropion

Scheepers, Marius A.; Singh, Ravi Shankar; Ng, James; Zuercher, Doris; Gibson, Andrew; Bunce, Catey; Fong, Ken; Michaelides, Michel; Olver, Jane

doi:10.1016/j.ophtha.2009.06.056

Cited by 67 publications

(57 citation statements)

References 14 publications

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“…19,20,23,24 This is why the lateral tarsal strip procedure has shown a higher success rate than other surgical procedures in both involutional entropion and ectropion. 19,21,22,25 This study analyzed the importance of the axial ocular globe projection for the development of involutional entropion and ectropion in a large elderly population. An age-related decrease of the orbital content may favor eyelid-globe disparity, contributing further to eyelid laxity.…”

Section: Discussionmentioning

confidence: 99%

Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

Damasceno¹,

Osaki²,

Dantas³

et al. 2011

Ophthalmic Plastic &Amp; Reconstructive Surgery

100

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Section: Discussionmentioning

confidence: 99%

Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

Damasceno¹,

Osaki²,

Dantas³

et al. 2011

Ophthalmic Plastic &Amp; Reconstructive Surgery

100

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“…The lateral laxity of the canthal tendon is the most important reason for the appearance of involutional ectropion and entropion. Laxity of the medial canthal tendon as well as false insertion of the lower retractors are also conductive parameters (12,(21)(22)(23)(24)(25)(26) . Age-related decrease and atrophy of the orbital fat as well as the relaxation of the ligamentous support lead to an increasing eyelid-globe disparity that again compounds eyelid laxity (9,16) .…”

Section: Pathogenesis and Pathological Findingsmentioning

confidence: 99%

Eyelid aging: pathophysiology and clinical management

Damasceno¹,

Avgitidou²,

Belfort³

et al. 2015

Arquivos Brasileiros De Oftalmologia

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Life expectancy is increasing in most countries. With increasing age, many in dividuals may develop involutional ophthalmic diseases, such as eyelid aging. Dermatochalasis, ptosis, ectropion, and entropion are common disorders in middle-aged and older adults. This review outlines the pathophysiology and clinical manage ment of these involutional eyelid disorders. Recently, a decrease in elastic fibers with ultrastructural abnormalities and an overexpression of elastin-degrading enzymes have been demonstrated in involutional ectropion and entropion. This may be the consequence of local ischemia, inflammation, and/or chronic mechanical stress. Eyelid aging with progressive loss of tone and laxity may affect the ocular surface and adnexal tissues, resulting in different clinical symptoms and signs. Surgical management depends on the appropriate correction of the underlying anatomical defect.

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“…6 Numerous studies demonstrate that techniques addressing all these anatomical problems especially horizontal lid laxity (for example, through LTS, Quickert method which includes horizontal lid shortening or Lower Eyelid Retractor Advancement with or without LTS) have a higher success rate than ES alone 2,3,5,6,[8][9][10][11] Patients with entropion are usually elderly and in discomfort, and desire rapid resolution of the problem. Nurse-led ES can therefore save valuable resources and provide a faster and safe service to patients.…”

Section: Discussionmentioning

confidence: 99%

“…1 Previous studies have established that surgical methods that address horizontal lid laxity provide longer-lasting entropion correction than everting sutures (ES) alone. 2,3 Various techniques have been described and all of them are more complex than ES and utilise more theatre time. ES is a low cost and simple method that is reproducible in the hands of operators with different surgical experience.…”

Section: Introductionmentioning

confidence: 99%

Success rate of nurse-led everting sutures for involutional lower lid entropion

Mohammed

Ford

2017

Eye

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Purpose To evaluate safety and long-term recurrence rate of entropion in patients having everting sutures (ES) for involutional entropion by ophthalmic nurses in a real clinical setting. Patients and methods Retrospective notes review of all patients who had an outpatient ES by our trained ophthalmic nurses over 2 year's time period. Outcome measures were complication and recurrence rates. Those with less than 3 years' recorded follow-up were contacted by paper questionnaire. Results 90 lids of 82 patients analysed. Mean age was 78 (range 54-97). In total, 82% had no entropion surgery before, whereas 13% had previous ES and 5% one or more other procedures. Questionnaires were sent to 38, with return rate of 81%. Recurrence rate was 21.1% after 36-60 months follow up from nurse-performed ES, with mean time to recurrence of 15 months (SD 13 months). A total of 32% of patients died during the follow-up period. Mean time between the procedure and death is 20.5 months. When ES were repeated twice (11 patients), recurrence rate was still 20%. No patients had any complications. Conclusion ES can be safely performed by ophthalmic nurses, with success rate comparable to the same technique performed by ophthalmologists.

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A Randomized Controlled Trial Comparing Everting Sutures with Everting Sutures and a Lateral Tarsal Strip for Involutional Entropion

Cited by 67 publications

References 14 publications

Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

Involutional Entropion and Ectropion of the Lower Eyelid: Prevalence and Associated Risk Factors in the Elderly Population

Eyelid aging: pathophysiology and clinical management

Success rate of nurse-led everting sutures for involutional lower lid entropion

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