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Transconjunctival entropion repair - the backdoor approach
Andreas J Kreis1, Fariha Shafi, Simon N Madge
1Victoria Eye Unit, Hereford County Hospital , Hereford , United Kingdom.
Orbit (Amsterdam, Netherlands)
|August 21, 2013
Summary
A modified transconjunctival approach for involutional entropion repair offers a safe and effective scar-free solution. This technique successfully restored lower lid anatomy with a low recurrence rate in most patients.
Area of Science:
- Ophthalmology
- Surgical Techniques
Background:
- Involutional lower lid entropion (ILLE) can cause discomfort and vision impairment.
- Surgical correction is necessary to restore normal eyelid function and prevent complications.
Purpose of the Study:
- To present a modified transconjunctival approach for repairing involutional lower lid entropion.
- To evaluate the safety, efficacy, and outcomes of this scar-free surgical technique.
Main Methods:
- Retrospective consecutive case series.
- Single surgeon series utilizing a transconjunctival approach for ILLE repair.
- Eleven eyes were operated using the modified technique.
Main Results:
- Complete resolution of entropion was achieved in 9 out of 11 eyes.
- Two patients required additional Jones' retractor plication for successful repair.
- The technique resulted in full restoration of lower lid anatomy.
Conclusions:
- The transconjunctival approach is a time-efficient, safe, and effective method for involutional entropion repair.
- This scar-free technique offers a high success rate and low recurrence.
- The described method provides a valuable alternative for ILLE surgical management.

