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Updated: Jun 7, 2026
03:59
Surgical Correction for Pediatric Epiblepharon and Trichiasis
Published on: July 8, 2025
Transconjunctival approach for involutional entropion: Impact on the ocular surface.
Yasuhiro Sakata1, Hikaru Watanabe1, Suzuna Ishimoto1
1Department of Plastic and Reconstructive Surgery, Wakayama Medical University, Wakayama, Japan.
Summary
A modified transconjunctival surgery effectively treats involutional lower eyelid entropion, improving ocular surface health and reducing irritation. This technique offers stable anatomical correction with a low recurrence rate.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Involutional lower eyelid entropion is a frequent age-related condition causing ocular surface irritation.
- Current surgical approaches often prioritize anatomical correction over functional ocular surface recovery.
Purpose of the Study:
- To evaluate the efficacy of a modified transconjunctival technique for involutional lower eyelid entropion.
- To assess the impact of the surgery on key ocular surface parameters.
Main Methods:
- Retrospective analysis of 24 patients (24 eyelids) undergoing a modified transconjunctival procedure.
- Surgical technique involved conjunctiva and retractor excision with fixation to the inferior tarsal border.
- Evaluation of conjunctivochalasis (CCh), superficial punctate keratopathy (SPK), and tear film break-up time (TBUT) pre- and postoperatively.
Main Results:
- Low recurrence rate of 8.3% with a mean operative time of 17.3 minutes.
- Significant improvement in CCh (2.0 to 1.0, p < 0.001) and SPK (2.8 to 0.7, p < 0.001).
- Mean TBUT increased from 3.1 to 5.2 seconds (p < 0.001).
Conclusions:
- The modified transconjunctival technique achieves stable anatomical correction for lower eyelid entropion.
- The procedure is associated with significant improvements in ocular surface parameters, enhancing patient comfort.
- This technique is a simple, time-efficient option, especially for cases with vertical laxity.
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