Lower eyelid entropion repair with retractor mobilization and insertion onto the anterior surface of the tarsal plate

Abstract

Disinsertion and reattachment of the retractors to the anterior tarsal plate in lower eyelid entropion repair is an effective surgical technique to improve lower eyelid stability. Although minimum follow-up is 12 months and average follow-up 24 months, longer follow-up would further evaluate this technique.

Modified everting sutures combined with reattachment to the inferior tarsal plate for involutional lower eyelid entropion: A new technique

“…Because horizontal eyelid laxity might have been present, all patients underwent lateral canthoplasty and LTS as part of the procedure. Athavale and O’donnell 9 did not place everting sutures. In their technique, the sutures were passed through the inferior skin border, then through retractors and anterior surface of tarsal plate, and then through the upper edge of the skin border.…”

“…In our modified Wies technique, the rate of recurrence was 3.6% and the time to recurrence was 2 years in the sole patient who experienced recurrence. Another advantage of this method may be that recurrence occurs later than in other methods reported in the literature 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 . The cause of late recurrence may be fibrosis between the tarsus and retractors.…”

“…The Jones technique may be used as a primary procedure, but it is mostly used for recurrent involutional entropion [ 2 ]. Athavale and O’donnell [ 9 ] reported that LTS combined with a modified version of the Jones technique (lower eyelid retractor reattachment onto the anterior surface of the tarsal plate) was an effective surgical technique based on the results of 24 months of follow-up. Because horizontal eyelid laxity might have been present, all patients underwent lateral canthoplasty and LTS as part of the procedure.…”

“…The retrospective nature of our study and limited number of patients are other limitations of our research. Although many studies investigating surgical repair techniques for involutional entropion have compared combined or modified techniques with more traditional ones 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 , to our best knowledge, this particular modification has not been described in the literature.…”

Η Χειρουργική Αντιμετώπιση Του Εκφυλιστικού Εντροπίου Του Κάτω Βλεφάρου Με Την Τεχνική Των Ραμμάτων Εκστροφής Και Της Έξω Ταρσικής Ταινίας

“…Η τεχνική της συρραφήςσταθεροποίησης των καθελκτήρων συνδέσμων στον ταρσό (plication lid retractors, Jones -type procedure) αποτελεί τεχνική με κάποιο βαθμό δυσκολίας κυρίως σ' ότι αφορά την ανεύρεση των καθελκτήρων. Διορθώνει την κάθετη χαλαρότητα και αναφέρονται καλά μετεγχειρητικά αποτελέσματα 14,70,71 . Πολλές φορές χρησιμοποιείται για τη διόρθωση υποτροπών.…”