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Inverting sutures for tarsal ectropion (the leicester modified suture technique)
Antonella Berry-Brincat1, Joyce Burns, Raghavan Sampath
1Lid, Lacrimal and Orbit Service, University Hospitals of Leicester, Leicester, United Kingdom.
Ophthalmic Plastic and Reconstructive Surgery
|September 12, 2013
Summary
A new suture technique effectively corrects tarsal lower eyelid ectropion, offering a simple solution with excellent outcomes. This method avoids tissue dissection and is easily learned by oculoplastic surgeons.
Area of Science:
- Ophthalmology
- Oculoplastic Surgery
- Surgical Techniques
Background:
- Tarsal lower eyelid ectropion can be challenging to correct surgically.
- Existing methods like transconjunctival plication or subciliary reattachment of retractors may have limitations.
Purpose of the Study:
- To describe a straightforward surgical technique for correcting tarsal lower eyelid ectropion.
- To evaluate the efficacy of the Leicester Modified Suture technique in patients with and without significant eyelid laxity.
Main Methods:
- A retrospective interventional case series was conducted.
- Inverting sutures were used to correct tarsal ectropion in 20 patients (25 eyelids).
- The study followed the Declaration of Helsinki principles.
Main Results:
- Ninety percent (18/20) of patients achieved a successful outcome.
- Mild residual eyelid eversion was noted in 10% (2/20) of patients, with satisfactory results.
- No reoperations were required for any patient.
- Mean follow-up was 3.6 months.
Conclusions:
- The Leicester Modified Suture technique provides a simple, effective method for correcting tarsal lower eyelid ectropion.
- The technique yields excellent outcomes without requiring tissue dissection.
- It is easily learned and implemented by oculoplastic surgeons of all experience levels.
