TREATMENT OF SENILE ENTROPION: A COMPARISON OF STANDARD AND MODIFIED SURGICAL TECHNIQUE
DOI:
https://doi.org/10.55519/JAMC-03-S1-9933Keywords:
Entropion repair, external tamponade, senile entropion, Weis procedureAbstract
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.References
Damasceno RW, Osaki MH, Dantas PE, Belfort R. Involutional entropion and ectropion of the lower eyelid: prevalence and associated risk factors in the elderly population. Ophthalmic Plast Reconstr Surg 2011;27(5):317–20.
Carter SR, Chang J, Aguilar GL. Involutional entropion and ectropion of the Asian lower eyelid. Ophthal Plast Reconstr Surg 2000;16(1):45–9.
Marcus MM, Paul PO, Jimmy SML. Involutional entropion: Risk factors and surgical remedies Curr Opin Ophthalmol 2015;26(5):416–21.
Nishimoto H, Takahashi Y, Kakizaki H. Relationship of horizontal lower eyelid laxity, involutional entropion occurrence, and age of Asian patients. Ophthal Plast Reconstr Surg 2013;29(6):492–6.
Asamura S, Kakizaki H, Shindou E, Itani Y, Isogai N. What is the best strategy for Asians with involutional entropion? J Craniofac Surg 2014;25(3):972–5.
Quickert MH, Rathbun E. Suture repair of entropion. Arch Ophthalmol 1971;85(3):304–5.
Serin D, Buttanri IB, Karslioglu S, Sevim MS, Buttanri B, Akbaba M. The Efficacy of the Combined Procedure in Involutional Entropion Surgery: A Comparative Study. Korean J Ophthalmol 2013;27(6):405–8.
Bergstrom R, Czyz CN. Entropion Eyelid Reconstruction. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing: 2022; PMID:29262117.
Cook T, Lucarelli MJ, Lemke BN, Dortzbach RK. Primary and secondary transconjunctival involutional entropion repair. Ophthalmology 2001;108(5):989–93.
Rainin EA. Senile entropion. Arch Ophthalmol 1979;97(5):928–30.
Dryden R, Leibson J, Wobig J. Senile entropion. Pathogenesis and treatment. Arch Ophthalmol 1978;96(10):1883–5.
Collin JRO, Rathbun JE. Involutional entropion: a review with evaluation of a procedure. Arch of Ophthalmol 1978;96(6):1058–64.
Wies FA. Surgical treatment of entropion. J Int Coll Surg 1954;21(6):758–60.
Jones LT, Reeh MJ, Tsujimura JK. Senile entropion. Am J Ophthalmol 1963;55(3):463–9.
Kamel El-Sobky HM, Mandour SS, Mohammed Alam MM. Wies procedure versus Jones procedure in the surgical correction of acquired lower eyelid involutional entropion. Menoufia Med J 2017;30(2):507–11.
El-Samkary MA. Lower lid retractors tucking with gray-line splitting procedure in the management of lower eyelid involutional entropion with misdirected lashes. J Egypt Ophthalmol Soc 2018;111(4):132–6.
Nakos EA, Boboridis KG, Kakavouti-Doudou AA, Almaliotis DD, Sioulis CE, Karampatakis VE. Randomized Controlled Trial Comparing Everting Sutures with a Lateral Tarsal Strip for Involutional Lower Eyelid Entropion. Ophthalmol Ther 2019;8(3):397–406.
Han J, Lee SH, Shin HJ. Mini-incisional entropion repair for correcting involutional entropion: Full description and surgical outcome. Medicine (Baltimore) 2019;98(33):e16731.
Badia SMA. Wies Operation with Horizontal Shortening versus Retractor Tightening with Horizontal Shortening for Management of lower Eyelid Senile Entropion. [Internet]. Zagazig University Digital Repository Egypt 2007 [cited 2021 Aug]; Available from: http://www.publications.zu.edu.eg/Pages/PubShow.aspx?ID=18624&&pubID=19
Boboridis K, Bunce C, Rose GE. A comparative study of two procedures for repair of involutional lower lid entropion. Ophthalmology 2000;107(5):959–61.
Damasceno RW, Osaki MH, Dantas PE, Belfort R Jr. Involutional entropion and ectopion: clinicopathologic correlation between horizontal eyelid laxity and eyelid extracellular matrix. Ophthal Plast Reconstr Surg 2011;27(5):321–6.
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