Effective small-incision surgery for involutional lower eyelid entropion

Area of Science:

• Ophthalmology
• Surgical Techniques
• Eyelid Surgery

Background:

• Involutional entropion affects the lower eyelid, causing discomfort and potential vision impairment.
• Addressing both horizontal and vertical eyelid laxity is key for successful entropion correction.
• Minimally invasive approaches are desirable for eyelid reconstructive surgery.

Purpose of the Study:

• To develop and evaluate an effective, minimally invasive surgical method for lower eyelid entropion.
• The technique aims to correct both horizontal and vertical laxity in involutional entropion.
• To assess the efficacy and safety of the described surgical approach.

Main Methods:

• A prospective, noncomparative, interventional case series involving 35 patients (45 eyelids) with involutional entropion.
• A lateral tarsal strip procedure with diagonal tightening of the orbital septum and lower lid retractors was performed.
• Surgical outcomes and complications were monitored clinically for 12 to 24 months.

Main Results:

• The surgical technique was effective in 86% of the 42 evaluated eyelids (36 cases cured).
• Transient lateral orbital rim tenderness occurred in 14% of cases, with one wound infection.
• Anatomic recurrences were noted in six eyelids, but 83% of these were asymptomatic.

Conclusions:

• The described lateral tarsal strip approach is an effective surgical option for lower eyelid entropion.
• The procedure demonstrates a high success rate in correcting eyelid laxity.
• Adequate clinical follow-up is essential for accurate assessment of entropion surgery outcomes.