Modified Wheeler Technique with Inferior Lid Retractor Plication for Senile Entropion

Area of Science:

• Ophthalmology
• Surgical Techniques
• Eyelid Surgery

Background:

• Involutional entropion, a common condition in the elderly, affects the lower eyelid.
• The modified Wheeler technique with inferior eyelid retractor plication is a surgical option for correction.
• Previous studies have explored various methods, necessitating evaluation of this specific technique.

Purpose of the Study:

• To assess the efficacy and outcomes of the modified Wheeler technique with lower eyelid retractor plication.
• To evaluate the long-term success rate and recurrence of involutional entropion after surgery.
• To document post-operative complications associated with the procedure.

Main Methods:

• A retrospective case series study was conducted in two tertiary eye hospitals in Bangladesh.
• Thirty patients with senile entropion underwent the modified Wheeler technique with inferior eyelid retractor plication.
• Surgical outcomes were assessed over a minimum follow-up period of 18 months.

Main Results:

• The study evaluated thirty eyes of thirty patients, achieving a 100% success rate.
• No recurrence of involutional entropion was observed during the 18-month follow-up period.
• Minor post-operative complications included ecchymosis, skin scarring, and minimal pain.

Conclusions:

• The modified Wheeler technique with inferior eyelid retractor plication is a definitive and permanent solution for involutional entropion.
• This surgical method demonstrates a high success rate with minimal to no recurrence.
• The procedure is effective in correcting senile entropion with manageable complications.