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Related Experiment Videos

External (subciliary) vs internal (transconjunctival) involutional entropion repair.

Guy J Ben Simon1, Margarita Molina, Robert M Schwarcz

  • 1Jules Stein Eye Institute and Department of Ophthalmology, David Geffen School of Medicine, University of California Los Angeles, Los Angeles, California 90095-7006, USA. simon@jsei.ucla.edu

American Journal of Ophthalmology
|March 16, 2005
PubMed
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Surgical repair of involutional entropion using internal or external approaches showed similar outcomes. While not statistically significant, the internal approach had higher recurrence, and the external approach had more ectropion.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Eyelid Surgery

Background:

  • Involutional entropion is a common condition requiring surgical correction.
  • Both internal (transconjunctival) and external (subciliary) approaches are used for repair.
  • Understanding the comparative outcomes is crucial for patient management.

Purpose of the Study:

  • To compare the surgical outcomes of internal versus external approaches for involutional entropion repair.
  • Evaluate differences in success rates, recurrence, and complications between the two methods.

Main Methods:

  • Retrospective review of consecutive cases of involutional entropion repair.
  • Analysis of electronic medical records from a 4-year period.
  • Assessment of anatomic and functional success, recurrence, and complications.

Related Experiment Videos

Main Results:

  • Eighty-four percent of cases achieved good surgical repair and symptom improvement.
  • Overall recurrence rate was 8.2%.
  • Internal repair showed a trend towards higher recurrence (15%) versus external (3%), and external repair had more postoperative ectropion.

Conclusions:

  • Both transconjunctival and subciliary approaches for involutional entropion repair yield similar outcomes.
  • The subciliary approach may be associated with increased risk of postoperative ectropion, potentially mitigated by lateral canthal resuspension.
  • The transconjunctival approach may have a higher recurrence rate, though not statistically significant in this study.