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Related Experiment Videos

Everting sutures in involutional entropion.

Alison E.R. Meadows1, Anne C. Reck, Hannah Gaston

  • 1Southampton Eye Unit, Southampton General Hospital, Southampton, United Kingdom

Orbit (Amsterdam, Netherlands)
|June 5, 2002
PubMed
Summary

Involutional entropion, common in the elderly, can be treated with everting sutures. This study found a 78% success rate at 18 months, suggesting other factors beyond eyelid laxity contribute to recurrence.

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Area of Science:

  • Ophthalmology
  • Geriatric Medicine
  • Surgical Techniques

Background:

  • Involutional entropion is the most frequent type of entropion in older adults.
  • Various surgical methods exist for correction, with everting sutures offering a simple, rapid approach suitable for outpatient settings.
  • Everting sutures are often considered temporary, particularly when horizontal lower lid laxity is present.

Purpose of the Study:

  • To evaluate the long-term efficacy of the everting suture technique for involutional entropion.
  • To identify potential factors contributing to recurrent entropion after everting suture repair.

Main Methods:

  • A retrospective review of 55 eyelids in 50 patients who underwent the everting suture technique for involutional entropion.
  • Minimum follow-up duration of 18 months to assess recurrence rates.

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Main Results:

  • The everting suture technique demonstrated a 78% success rate, with no entropion recurrence observed in the majority of patients at 18 months.
  • A significant portion of patients experienced sustained correction, challenging the notion that horizontal eyelid laxity is the sole predictor of recurrence.

Conclusions:

  • The everting suture technique provides durable results for involutional entropion, with a low recurrence rate at 18 months.
  • Factors beyond horizontal eyelid laxity, such as dermatochalasis and orbital fat prolapse, may play a significant role in the recurrence of entropion after this procedure.