Factors affecting the success rate of the Quickert and Wies procedures for lower lid entropion

Many different surgical procedures have been described for the treatment of involutional lower lid entropion. Two commonly performed operations, namely, the Wies and Quickert procedures were analysed to assess the success rates and the factors responsible for their failures. The failure rates were 26% and 5% for the Wies and Quickert procedures, respectively. Most of the failures in these procedures were attributed to untreated lid laxity and the mean time of recurrence was 8 months. We therefore stress the importance of careful lid examination, in particular for horizontal lid laxity, as this will influence the choice of surgical procedure and ultimately the success of treatment.