Involutional Entropion

Collin, J. R. O.

doi:10.1001/archopht.1978.03910050578018

Cited by 106 publications

(20 citation statements)

References 17 publications

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“…Jones [2] also postulated that lower lid retractor laxity was analogous to a levator aponeurosis dehiscence. Collin and Rathbun [16] histologically studied patients with entropion versus normal eyelids evaluating the lower lid retractors. In the entropion specimens, they found that the lower lid retractors and orbital septum only came to within 3.5 mm of the inferior border of the tarsus versus 1.5 to 2.5 mm in normal lids [16].…”

Section: Introductionmentioning

confidence: 99%

Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion

Michels

Czyz

Cahill

et al. 2014

Journal of Ophthalmology

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Purpose. To analyze the clinical findings associated with involutional entropion and ectropion and compare them to each other and to age-matched controls. Methods. Prospective, age-matched cohort study involving 30 lids with involutional entropion, 30 lids with involutional ectropion, and 52 age-matched control lids. Results. The statistically significant differences associated with both the entropion and ectropion groups compared to the control group were presence of a retractor dehiscence, presence of a “white line,” occurrence of orbital fat prolapse in the cul-de-sac, decreased lower lid excursion, increased lid laxity by the snapback test, and an increased lower lid distraction. Entropion also differed from the control group with an increased lid crease height and decreased lateral canthal excursion. Statistically significant differences associated with entropion compared to ectropion were presence of a retractor dehiscence, decreased lateral canthal excursion, and less laxity in the snapback test. Conclusion. Entropic and ectropic lids demonstrate clinically and statistically significant anatomical and functional differences from normal, age-matched lids. Many clinical findings associated with entropion are also present in ectropion. Entropion is more likely to develop with a pronounced retractor deficiency. Ectropion is more likely to develop with diminished elasticity as measured by the snapback test.

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Section: Introductionmentioning

confidence: 99%

Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion

Michels

Czyz

Cahill

et al. 2014

Journal of Ophthalmology

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“…Collin and Rathbun [2] said no operation designed to correct the aging changes that affect the lid tissues can be completely successful, since by definition, these changes are progressive. Numerous surgical techniques have been described to correct involutional entropion.…”

Section: Discussionmentioning

confidence: 45%

“…Several etiologic factors are thought to be important in the development of involutional entropion, including horizontal lid laxity, caused by stretching of the canthal tendons and/or the tarsal plate, vertical lid laxity, caused by attenuation, dehiscence, or disinsertion of the lower lid retractors, migration of the preseptal orbicularis muscle to override the pretarsal orbicularis muscle, relative enophthalmos from absorption of orbital fat, and involutional change of the tarsal plate. Attenuation, dehiscence, or disinsertion of the lower lid retractors are thought to be the most important etiologic factors [1,2,3,4]. …”

Section: Introductionmentioning

confidence: 51%

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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“…The LLE was determined by holding the head of the patient immobile, placing a millimetre ruler over the lower lid in the plane of the pupil and measuring the retractor excursion from extreme downgaze to extreme upgaze. There is no study reporting a precise quantification in millimetres of the normal LLE but only data on postoperative improvement of this parameter [4, 5]. …”

Section: Methodsmentioning

confidence: 42%

“…We are also aware, as Collin and Rathbun [5]commented, that follow-up studies after entropion procedures are notoriously inaccurate since the population is aged. In accordance with their suggestions and other follow-up methods, our study therefore included data on the number of patients who were lost to follow-up for whatever reason [3, 4, 17, 26].…”

Section: Discussionmentioning

confidence: 48%

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

et al. 2003

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Objective: The aim of this study was to quantify the efficacy of three different surgical techniques for entropion repair in a 3-year follow-up study: (1) the Fox procedure, (2) everting sutures and (3) a modified technique of lower lid retractor plication. Methods: We included in our study 32 eyelids of 32 consecutive patients with involutional lower lid entropion; 10 lids underwent the Fox procedure, 13 the everting sutures and 9 the modified retractor plication. We evaluated the pre- and postoperative horizontal lid laxity (HLL), the pre- and postoperative lower lid excursion (LLE) and the number of recurrences in each patient group. Statistical analysis was performed with the non-parametric Mann-Whitney test and the exact Fisher’s test where appropriate. Results: Only the modified retractor plication technique showed statistically significant differences in HLL and LLE (p < 0.05). In the group treated with this technique, there was a lower incidence of entropion recurrence (p < 0.05). The everting suture technique showed a statistically significant improvement of the LLE only (p < 0.05). The Fox procedure did not show any statistically significant improvement of the studied parameters. Conclusions: The modified retractor plication technique gave the best results in terms of improvement of HLL and LLE and a lower incidence of entropion recurrence compared to the two other techniques studied.

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Involutional Entropion

Cited by 106 publications

References 17 publications

Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion

Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion

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

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

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