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Published on: March 10, 2013
Primary and secondary transconjunctival involutional entropion repair
T Cook1, M J Lucarelli, B N Lemke
1Department of Ophthalmology and Visual Sciences, Oculoplastics Service, University of Wisconsin-Madison, 600 Highland Ave., Madison, WI 53702, USA.
Ophthalmology
|April 26, 2001
Summary
Transconjunctival entropion repair showed an 8.3% recurrence rate, with trichiasis as the most common complication. This method may be less effective than transcutaneous approaches for lower eyelid entropion.
Area of Science:
- Ophthalmology
- Oculoplastics
- Surgical Techniques
Background:
- Lower eyelid involutional entropion is a common age-related disorder.
- It results from eyelid laxity, orbicularis oculi muscle override, and weakened eyelid retractors.
- Surgical repair aims to correct these anatomical issues.
Purpose of the Study:
- To evaluate the long-term outcomes of transconjunctival entropion repair.
- To assess the recurrence rate and complications associated with this surgical approach.
Main Methods:
- A case series of 31 patients (36 eyelids) undergoing transconjunctival entropion repair.
- Procedures included myectomy, retractor fixation, and horizontal shortening.
- Follow-up averaged 31.5 months, excluding cases with less than 12 months.
Main Results:
- An 8.3% recurrence rate of entropion was observed (3 of 36 eyelids).
- Postoperative complications occurred in 16.7% of eyelids, with trichiasis being most frequent (11.1%).
- Three eyelids (8.3%) required revision surgery.
Conclusions:
- Transconjunctival entropion repair has a recurrence rate comparable to some techniques but potentially higher than transcutaneous methods.
- Inadequate myectomy, retractor fixation, or cicatricial changes may contribute to recurrence.
- Trichiasis is the primary complication, and transconjunctival repair may be slightly less effective than transcutaneous repair.
