Skip to main content
Log in

Surgical outcome of involutional lower eyelid entropion correction using transcutaneous everting sutures in Chinese patients

  • Original Paper
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

To evaluate the clinical efficacy of transcutaneous everting sutures for lower eyelid involutional entropion in Chinese patients. A retrospective, non-comparative, interventional case series. This retrospective study consecutively reviewed the medical records of all patients with involutional lower eyelid entropion who underwent transcutaneous everting suture for entropion correction at the Department of Ophthalmology, Caritas Medical Centre, from 1st January 2010 to 31st October 2013. Exclusion criteria included concurrent eyelid pathologies such as malignant tumor, infection, cicatricial entropion, post-operative follow-up period of <3 months, significant horizontal lid laxity, and aged <60 years at the time of surgery. The primary outcome measures were recurrence rate and complications. Secondary outcome measures included patient demographic data, type and number of everting sutures, duration of operation, timing of stitch removal, duration of follow-up, as well as each patient’s medical history and current medications. Thirty-four eyelids of 28 patients were included. The average age was 78.2 ± 7.3 years and the male to female ratio was 4:3. In this series, 26.5 and 2.9 % of eyelids underwent entropion correction whilst receiving aspirin and warfarin, respectively. The mean duration of post-operative follow-up was 13.2 ± 10.5 months. The recurrence rate was 11.8 % at a mean of 9.0 ± 6.0 months. There were no peri-operative or post-operative complications observed. A transcutaneous everting suture was found to be a quick and effective means to correct senile involutional lower lid entropion in Chinese patients with no complications despite the continued use of anti-coagulation therapy in >25 % of our cases.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Damasceno RW, Osaki MH, Dantas PE, Belfort R Jr (2011) Involutional entropion and ectropion of the lower eyelid: prevalence and associated risk factors in the elderly population. Ophthal Plast Reconstr Surg 27(5):317–320

    Article  PubMed  Google Scholar 

  2. Rainin EA (1979) Senile entropion. Arch Ophthalmol 97:928–930

    Article  CAS  PubMed  Google Scholar 

  3. Jackson ST (1983) Surgery for involutional entropion. Ophthalmic Surg 14:322–326

    CAS  PubMed  Google Scholar 

  4. De Roetth A (1963) Mechanism of the senile entropion. Trans Pacific Coast Oto-Ophthalmol Soc 44:173

    Google Scholar 

  5. Dalgliesh R, Smith JLS (1966) Mechanics and histology of senile entropion. Br J Ophthalmol 50:79

    Article  Google Scholar 

  6. Wies FA (1954) Surgical treatment of entropion. J Int Coll Surg 21:758

    CAS  PubMed  Google Scholar 

  7. Quickert MH. In: Sorsby A (ed) Modern ophthalmology, Vol. 4, 2nd edn. Butterworth, London, p 939

  8. Jones LT, Reeh MJ, Wobig JL (1972) Senile entropion, a new concept for correction. Am J Ophthalmol 74:327

    CAS  PubMed  Google Scholar 

  9. Wright M, Bell D, Scott C, Leatherbarrow B (1999) Everting suture correction of lower lid involutional entropion. Br J Ophthalmol 83:1060–1063

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  10. Quickert MH, Rathbun JE (1971) Suture repair of entropion. Arch Ophthalmol 85:304–305

    Article  CAS  PubMed  Google Scholar 

  11. Meadows AE, Reck AC, Gaston H, Tyers AG (1999) Everting sutures in involutional entropion. Orbit 18:177–181

    Article  PubMed  Google Scholar 

  12. Scheepers MA, Singh R, Ng J, Zuercher D, Gibson A, Bunce C, Fong K, Michaelides M, Olver J (2010) A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion. Ophthalmology 117(2):352–355

    Article  PubMed  Google Scholar 

  13. Erb MH, Uzcategui N, Dresner SC (2006) Efficacy and complications of the transconjunctival entropion repair for lower eyelid involutional entropion. Ophthalmology 113(12):2351–2356

    Article  PubMed  Google Scholar 

  14. Parkin B, Manners R (2000) Aspirin and warfarin therapy in oculoplastic surgery. Br J Ophthalmol 84(12):1426–1427

    Article  CAS  PubMed Central  PubMed  Google Scholar 

  15. Quickert MH, Rathbun E (1974) Suture repair of entropion. Arch Ophthalmol 85:304–305

    Article  Google Scholar 

  16. Rougraff PM, Tse DT, Johnson TE, Feuer W (2001) Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthal Plast Reconstr Surg 17(4):281–287

    Article  CAS  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Gordon S. K. Yau.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Tsang, S., Yau, G.S.K., Lee, J.W.Y. et al. Surgical outcome of involutional lower eyelid entropion correction using transcutaneous everting sutures in Chinese patients. Int Ophthalmol 34, 865–868 (2014). https://doi.org/10.1007/s10792-013-9893-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10792-013-9893-5

Keywords

Navigation