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E. Baylin, J.D. Perry; Modified Transconjunctival Technique for Repair of Lower Eyelid Involutional Entropion . Invest. Ophthalmol. Vis. Sci. 2003;44(13):2426.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To evaluate the efficacy of a modified transconjunctival approach to repair lower eyelid entropion. Methods: A retrospective noncomparative case series of patients undergoing repair of involutional entropion from 5/00 through 3/02. Surgery addressed all 3 anatomic factors underlying their entropion. Lateral canthal resuspension addressed horizontal laxity, extirpation of the orbicularis with monopolar cautery addressed preseptal override, and reinsertion of the retractors addressed retractor disinsertion. Results: Twenty-six patients (30 eyelids) underwent repair of lower lid involutional entropion through a transconjunctival approach. Follow-up ranged from 6 months to 3 years. Transconjunctival repair resulted in resolution of entropion in 30/30 eyelids. There were no recurrences during the follow-up period. Conclusions: Modified transconjunctival lower eyelid entropion repair is efficacious and safe with a low rate of recurrence. The transconjunctival approach addresses all major anatomic factors related to involutional entropion. The rate of recurrence compares favorably with the external approaches and avoids violation of the orbital septum.
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