Comparing surgical outcomes between the Jones and Wies procedures with lateral tarsal strip for involutional lower...

We aimed to compare surgical outcomes between the Jones and Wies procedures with a lateral tarsal strip (JP + LTS and WP + LTS, respectively) for involutional entropion repair. This retrospective, interventional, comparative study included 155 patients (unilateral: 126; bilateral: 29) with involutional entropion who underwent JP + LTS (58 eyes) or WP + LTS (126 eyes). A successful outcome was defined as a normal eyelid position at last follow-up without requiring reoperation. The mean follow-up duration was 37.3 months (median: 26.5 months; range: 6-178 months). Average operating room times per eye were 68.1 ± 26.3 (WP + LTS) and 82.8 ± 27.7 (JP + LTS) min (p = 0.001). After primary entropion repair, recurrence occurred in 11 but ectropion in 4 eyes. Success rates were 91.4% (JP + LTS) and 92.0% (WP + LTS) (p = 1.000). Kaplan-Meier analysis demonstrated success rates of 93.6%, 92.7%, and 90.0% at 1.5, 3, and 5 years, respectively. Trainees performing JP + LTS had a significantly lower success rate than consultants (adjusted hazard ratio: 0.10, p = 0.049). Therefore, both JP + LTS and WP + LTS achieved acceptable long-term success rates for involutional lower eyelid entropion repair; however, WP + LTS involved a shorter operating room time and presence of meibomian gland dysfunction. The success rate of JP + LTS was higher when performed by experienced surgeons.