Tarsal strip combined with modified Quickert-Rathbun sutures for involutional entropion.

BACKGROUND: Involutional entropion is a common problem in the elderly population. The author describes a method of repair of involutional entropion that is a combination and modification of two existing surgical techniques.

METHODS: Review of the cases of 20 consecutive patients (22 lids) who underwent surgery for involutional entropion. All surgical procedures were performed by the author. Repair consisted of a tarsal strip procedure combined with a modification of the Quickert-Rathbun suture technique. All patients had at least 1 year of follow-up.

RESULTS: Surgery was successful in 21 (95%) of the 22 eyelids. One patient was noted to have recurrent entropion at 21 months. The average length of follow-up was 33.3 months (range 12 to 79 months).

INTERPRETATION: The surgical technique described is straightforward and reliable for the correction of involutional entropion.