The modified Bick quick strip procedure for surgical treatment of eyelid malposition

To describe the quick strip technique, a hybrid procedure that combines features of the classic Bick procedure and lateral tarsal strip, and to evaluate its effectiveness for correction of lower eyelid malpositions due to horizontal laxity (including both ectropion and entropion).

Retrospective chart review of 225 eyelids of 160 patients receiving the quick strip. Patient demographics, results, complications, and symptomatic improvement were evaluated. Subgroups included 54 eyelids of 42 patients with entropion and 171 eyelids of 118 patients with various degrees of ectropion.

Complete resolution of eyelid malposition was achieved in 208/225 (92.4%) eyelids of 146/160 (91.3%) patients. Late recurrences occurred in 1/225 (0.4%) eyelids of 1/160 (0.6%) patients. Symptomatic improvement was achieved in 152/160 (95.0%) patients. Complications were infrequent with no cases of infection, hematoma, or lateral canthal rounding. The procedure can be combined in a straightforward manner with adjunctive procedures such as suborbicularis oculi fat lift and medial spindle for more advanced cases of ectropion.

Quick Strip is an effective and efficient surgical treatment for the correction of eyelid malpositions that require horizontal tightening as a component of their management.