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[Wide everting suture for involutional lower lid entropion].
Kengo Hayashi1, Kyoko Ohno-Matsui, Muka Moriyama
1Department of Ophthalmology and Visual Science, Tokyo Medical and Dental University, Japan. kengoh@mist.ocn.ne.jp
Nippon Ganka Gakkai Zasshi
|July 9, 2011
Summary
A novel wide everting suture technique effectively treats involutional lower lid entropion. This minimally-invasive procedure shows a low recurrence rate and no complications, offering a promising solution for eyelid malposition.
Area of Science:
- Ophthalmology
- Surgical Techniques
Context:
- Involutional lower lid entropion is a common condition causing eyelid margin inversion.
- Eyelash-corneal contact can lead to significant ocular morbidity.
Purpose:
- To present a modified Komoto procedure using a wide everting suture for involutional lower lid entropion.
- To evaluate the efficacy and safety of this surgical technique.
Summary:
- A retrospective study analyzed 41 lower eyelids in 36 patients undergoing the wide everting suture technique.
- The procedure involves a single nonabsorbable stitch placed along the entire inverted lid length.
- The recurrence rate was 7.3% with no observed complications like ectropion.
Impact:
- The wide everting suture technique is a simple, quick, and minimally-invasive option for involutional entropion.
- This method appears effective in correcting both vertical and horizontal eyelid laxity.
- The procedure offers a potentially valuable treatment for patients with lower lid entropion.
