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Simple effective surgery for involutional entropion suitable for the general ophthalmologist.
J A Barnes1, C Bunce, Jane M Olver
1Oculoplastic and Orbital Service, Charing Cross Hospital, London, United Kingdom.
Ophthalmology
|November 29, 2005
Summary
The lateral tarsal strip and everting sutures (LTS+ES) surgery effectively corrects involutional entropion. This procedure demonstrated a 98% success rate, proving safe and effective when performed by both surgical trainees and experienced oculoplastic surgeons.
Area of Science:
- Ophthalmology
- Oculoplastics
- Surgical Outcomes
Background:
- Involutional entropion is a common condition requiring surgical correction.
- The lateral tarsal strip and everting sutures (LTS+ES) technique is a standard surgical approach.
- Evaluating surgical training impact on outcomes is crucial for patient care.
Purpose of the Study:
- To compare the long-term success, recurrence, and complication rates of involutional entropion surgery.
- To assess outcomes when LTS+ES is performed by surgical trainees versus specialist oculoplastic surgeons.
Main Methods:
- Prospective, interventional, comparative clinical case series.
- Adult patients with involutional entropion underwent LTS+ES surgery.
- Outcomes were evaluated based on clinical examination and patient symptoms with a minimum 12-month follow-up.
Main Results:
- 98% of 54 eyelids (47 patients) achieved successful outcomes with no recurrence.
- The LTS+ES surgery was effective regardless of surgeon experience level (P>0.4).
- Six patients (11%) died within 6 months, and 2 (3.5%) were lost to follow-up.
Conclusions:
- LTS+ES is a simple and effective procedure for involutional entropion.
- The technique can be performed successfully by surgical residents and fellows.
- Surgeon experience did not significantly impact the high success rate of LTS+ES.