Two-paired Mini-incisional Entropion Surgery for Involutional Entropion

Area of Science:

• Ophthalmology
• Surgical Techniques

Background:

• Involutional entropion is a common condition affecting the lower eyelids.
• Surgical correction is necessary to prevent complications like corneal abrasion.

Purpose of the Study:

• To describe and evaluate the efficacy of a "2-paired mini-incisional entropion surgery" for treating involutional entropion.
• To compare this new technique with existing surgical methods.

Main Methods:

• A retrospective case series involving 60 patients (66 lower eyelids).
• Patients were divided into three groups based on surgical technique: 2-paired mini-incisional, transconjunctival retractor reinsertion, or transcutaneous retractor reinsertion.
• Outcomes including operation time, complications, and success rates were analyzed over a 35-month follow-up period.

Main Results:

• Recurrence rates were 5.9% for the 2-paired mini-incisional group, 5.3% for the transconjunctival group, and 7.7% for the transcutaneous group.
• Success rates at 24 months were 94.1% for the 2-paired mini-incisional surgery, 94.7% for the transconjunctival approach, and 92.3% for the transcutaneous group.

Conclusions:

• The 2-paired mini-incisional entropion surgery is an effective method for correcting involutional entropion.
• This technique can be utilized as a standalone procedure or in conjunction with horizontal tightening surgeries.