Everting suture correction of lower lid involutional entropion

Wright, Mark; Bell, Dugald; Scott, Christopher G.; Leatherbarrow, Brian

doi:10.1136/bjo.83.9.1060

Cited by 67 publications

(61 citation statements)

References 21 publications

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“…Quickert and Rathbun [12] described placing full-thickness eyelid sutures beginning just below the tarsal plate on the conjunctival surface and exiting the skin in the same horizontal plane. Wright et al [13] suggested that after a mean follow-up period of 31 months using the everting suture technique, entropion had recurred in 15% of patients and that there were no failures after retreatment in the group of 5 patients with recurrent entropion. Corin et al [14] described a modification of the lateral tarsal strip procedure with resection of the orbicularis muscle for entropion repair.…”

Section: Discussionmentioning

confidence: 99%

Clinical Study of Single-Suture Inferior Retractor Repair for Involutional Entropion

Park

Jung

Baek³

2006

Ophthalmologica

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Purpose: To evaluate the clinical efficacy of a simplified single-suture inferior retractor repair technique for involutional entropion. Methods: A retrospective study of 20 patients (26 eyelids), followed for 6 months at our hospital, who showed no severe horizontal lid laxity were operated on for involutional entropion. After subciliary incision, the inferior retractor was identified and repaired by reattaching the superior edge of the inferior retractor to the inferior edge of the lower tarsus by a single suture using 5-0 prolene. Results: 26 eyelids of 20 patients (80.8%) were treated successfully without recurrence. Complications were seen in 5 eyelids, 2 were overcorrections and 3 were recurrences of entropion. Recurred cases were reoperated on and showed good postoperative results after the second surgery. Conclusions: The simplified single-suture inferior retractor repair had good results in patients with involutional entropion without severe horizontal lid laxity. Moreover, this procedure had a short operation and recovery time. In unilateral cases, we could achieve more symmetric appearance when compared with bilateral surgeries.

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Section: Discussionmentioning

confidence: 99%

Clinical Study of Single-Suture Inferior Retractor Repair for Involutional Entropion

Park

Jung

Baek³

2006

Ophthalmologica

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“…The technique used was essentially the same as described by Wright et al, 4 with substitution of vicryl for catgut (which is no longer available in the UK). Three double-ended 4/0 vicryl sutures were used.…”

Section: Surgical Methodsmentioning

confidence: 99%

“…ES is a low cost and simple method that is reproducible in the hands of operators with different surgical experience. 4 It can be provided in the outpatient clinic on patients' first visit and does not require stopping antiplatelet medication. Allowing appropriately trained ophthalmic nurses to deliver this service could reduce costs provided safety and efficacy can be demonstrated and patients informed of alternatives to permit informed consent.…”

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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“…In these cases, the application of the liquid bandage is also a good option for treatment. Quickert everting sutures, which plicate the attenuated lid retractors and transfer their pull to the anterior surface of the tarsal plate, are also an alternative for debilitated patients (16)(17)(18) . Although it is a simple procedure, it is not as easy as the application of the liquid bandage and requires hospitalization to be performed.…”

Section: Methodsmentioning

confidence: 99%