Comparative Study
Evaluation Study
Journal Article
Add like
Add dislike
Add to saved papers

Comparison of four Combined Procedures for Correction of Involutional Lower Eyelid Entropion.

BACKGROUND: To evaluate 4 combined techniques for entropion repair which address the horizontal laxity by either lateral tarsal strip (LTS) or Bick's procedure (BP) and the vertical laxity by everting sutures (ESs) or lower lid retractor plication (LLRP).

METHODS: Retrospective, comparative consecutive clinical series. A total of 261 procedures were performed on 227 patients. Patients were divided in the following groups based on the procedure type: Group 1: LTS + ES (n = 115), Group 2: LTS + LLRP (n = 77), Group 3: BP + ES (n = 25), and Group 4: BP + LLRP (n = 44).

RESULTS: The study cohort included 132 males and 95 females. The mean age was 76.2 ± 8.3 years. The mean follow-up was 13 months (range 3-58). At last follow-up, the cure rate was 92% in the LTS + ES and 90% LTS + LLRP groups, in contrast to 100% in BP + ES and BP + LLRP groups (P = 0.035). Overcorrection was observed in 2 patients from LTS + ES and 5 from LTS + LLRP group. There was no statistically significant difference in terms of symptoms outcomes among 4 groups. Complications were relatively minor with no statistically significant difference between the 2 groups (P = 0.13). The reoperation rate was 7% and 6.5% in groups 1 and 2 (P = 1.0), respectively, to none in groups 3 and 4.

CONCLUSION: Bick's procedure in conjunction with either ES or LLRP, provides a quick, simple, and effective means for addressing the main pathogenic factors of involutional entropion. This study found a lower recurrence rate and consecutive ectropion formation in Bick's compared to LTS groups.

Full text links

We have located links that may give you full text access.
Can't access the paper?
Try logging in through your university/institutional subscription. For a smoother one-click institutional access experience, please use our mobile app.

Related Resources

For the best experience, use the Read mobile app

Mobile app image

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app

All material on this website is protected by copyright, Copyright © 1994-2024 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

By using this service, you agree to our terms of use and privacy policy.

Your Privacy Choices Toggle icon

You can now claim free CME credits for this literature searchClaim now

Get seemless 1-tap access through your institution/university

For the best experience, use the Read mobile app