Interventions for involutional lower lid entropion

Comparison of surgical outcomes between simple posterior layer advancement of lower eyelid retractors and combination with a lateral tarsal strip procedure for involutional entropion in a Japanese population

“…Conversely, recurrence was defined as turn of the eyelid margin toward the globe at rest with contact of any cilia to the globe 11. We statistically compared the success rates between Groups A and B, between Groups A and C, and between the surgeons, using the Fisher's exact test.…”

A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion

“…Randomized clinical trials (RCTs) resemble the gold standard in evidence‐based medicine, and a documented lack of RCT in the field of entropion repair has been outlined by Boboridis et al. in 2011 (Boboridis & Bunce ).…”

Response to Comments on Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion

“…However, we have emphasized in this and previous publications that the combined procedure addressing both horizontal and vertical eyelid tightening is the golden standard for the management of senile entropion offering an optimum and long-lasting anatomical correction [2][3][4].…”

“…Dr Jamison et al shared the anecdotal results of their Yorkshire entropion study comparing two types of combined procedures for entropion repair. Even unpublished data from incomplete RCTs offer valuable scientific information in a field with a paucity of clinical trials and the results of this Yorkshire study will be incorporated into the next update of a Cochrane systematic review on entropion surgery [3]. Their results of no recurrence in the group of lateral tarsal sling (LTS) with Jones retractor plication versus 6.3% in the group of LTS with everting sutures indicates that formal retractor plication is the most efficient method of vertical lid tightening.…”

“…Similarly, clinical decisions should be based on published evidence and it is only ethical to suggest the most effective combined procedure to anyone who requires entropion correction, despite their age or life expectancy. If other circumstances such as poor health or bedside surgery dictate the need for a simpler procedure, then everting sutures should be considered as a relatively effective option which does not require expertise and can be easily performed by a nurse practitioner [3].…”