Treatment of Senile Entropion: A Comparison of Standard and Modified Surgical Technique

Abstract

Background: The aim of this study is to compare the postoperative functional outcomes of two different surgical techniques for the correction of senile lower lid entropion. It was a Quasi experimental study, carried out at BHY Hospital, Karachi, Pakistan from January to December 2018. Method: This study recruited fifty patients belonging to either gender with an age range of 60–70 years having unilateral lower lid senile entropion. All the patients were briefed about the study dynamics and divided into two groups with twenty-five patients in each group via convenience-based sampling technique. Those with a prior history of lid surgery or bleeding diathesis were excluded from the study. Patients of group A underwent the standard Weis surgical procedure whereas Group B patients underwent a modified surgical approach using an external tamponade. Main outcome measure was the rectification of abnormal lid position to the normal level. All the patients were followed for a period of six months postoperatively. Study approval was obtained from the institutional ethical review board. Result: This study included a total of fifty patients with twenty-five patients in each group. Mean age was 64.5±3.23 years. Recurrence was observed in 32% patients of group A and 4% patients of group B. Conclusion: The modified surgical technique for entropion repair using an external tamponade has a favourable outcome with minimal recurrence and symptomatic relief.

Chalazia: A Scoping Review to Identify the Evidence Behind Treatments

“…5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42…”

“…Three studies combined I&C with intralesional corticosteroid injections, with a mean resolution rate of 98% (98%-100%). 5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42 E&C was evaluated in 3 publications with a mean resolution rate of 80% (54%-94%).…”

“…A total of 16 publications studied the use of I&C in resolving a chalazion and demonstrated a mean resolution rate of 84% (65%-100%). 5,9,16,19,21,23,26,27,[31][32][33]37,38,40,42,43 These studies were split evenly between OCEBM level 2 and OCEBM level 3 studies. Two publications mentioned the use of a second I&C procedure with a combined resolution rate of 90% (89%-100%).…”

“…14 Three studies evaluated combination treatments of I&C with intralesional corticosteroid injections, demonstrating a mean resolution rate of 98% (98%-100%). 5,31,42…”

Chalazia: A Scoping Review to Identify the Evidence Behind Treatments

“…5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42…”

“…Three studies combined I&C with intralesional corticosteroid injections, with a mean resolution rate of 98% (98%-100%). 5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42 E&C was evaluated in 3 publications with a mean resolution rate of 80% (54%-94%).…”

“…A total of 16 publications studied the use of I&C in resolving a chalazion and demonstrated a mean resolution rate of 84% (65%-100%). 5,9,16,19,21,23,26,27,[31][32][33]37,38,40,42,43 These studies were split evenly between OCEBM level 2 and OCEBM level 3 studies. Two publications mentioned the use of a second I&C procedure with a combined resolution rate of 90% (89%-100%).…”

“…14 Three studies evaluated combination treatments of I&C with intralesional corticosteroid injections, demonstrating a mean resolution rate of 98% (98%-100%). 5,31,42…”

Surgical management of patients with corneal lesions due to lid pathologies

“…Qurban et al [ 12 ] conducted a quasi-experimental study proposing a modified surgical approach for entropion repair with an external tamponade, resulting in good outcomes, little recurrence, and symptomatic alleviation.…”

Chalazia: A Scoping Review to Identify the Evidence Behind Treatments

“…5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42…”

“…Three studies combined I&C with intralesional corticosteroid injections, with a mean resolution rate of 98% (98%-100%). 5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42 E&C was evaluated in 3 publications with a mean resolution rate of 80% (54%-94%).…”

“…A total of 16 publications studied the use of I&C in resolving a chalazion and demonstrated a mean resolution rate of 84% (65%-100%). 5,9,16,19,21,23,26,27,[31][32][33]37,38,40,42,43 These studies were split evenly between OCEBM level 2 and OCEBM level 3 studies. Two publications mentioned the use of a second I&C procedure with a combined resolution rate of 90% (89%-100%).…”

“…14 Three studies evaluated combination treatments of I&C with intralesional corticosteroid injections, demonstrating a mean resolution rate of 98% (98%-100%). 5,31,42…”

Surgical management of patients with corneal lesions due to lid pathologies

“…Qurban et al [ 12 ] conducted a quasi-experimental study proposing a modified surgical approach for entropion repair with an external tamponade, resulting in good outcomes, little recurrence, and symptomatic alleviation.…”

Chalazia: A Scoping Review to Identify the Evidence Behind Treatments

“…5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42…”

“…Three studies combined I&C with intralesional corticosteroid injections, with a mean resolution rate of 98% (98%-100%). 5,31,42 This was an interesting finding as combing I&C with intralesional corticosteroid injections was not previously identified in current proposed treatment algorithms or preferences for treatments. 1,6 Yet, patients who received I&C in combination with steroid injections experienced less recurrence when compared to those who only received I&C. 42 E&C was evaluated in 3 publications with a mean resolution rate of 80% (54%-94%).…”

“…A total of 16 publications studied the use of I&C in resolving a chalazion and demonstrated a mean resolution rate of 84% (65%-100%). 5,9,16,19,21,23,26,27,[31][32][33]37,38,40,42,43 These studies were split evenly between OCEBM level 2 and OCEBM level 3 studies. Two publications mentioned the use of a second I&C procedure with a combined resolution rate of 90% (89%-100%).…”

“…14 Three studies evaluated combination treatments of I&C with intralesional corticosteroid injections, demonstrating a mean resolution rate of 98% (98%-100%). 5,31,42…”

Surgical management of patients with corneal lesions due to lid pathologies

“…Qurban et al [ 12 ] conducted a quasi-experimental study proposing a modified surgical approach for entropion repair with an external tamponade, resulting in good outcomes, little recurrence, and symptomatic alleviation.…”