Purchase this article with an account.
A. Rabinovich, S. K. Freitag; Involutional Entropion Repair With Lateral Tarsal Strip and Infraciliary Rotation: Surgical Technique and Outcomes. Invest. Ophthalmol. Vis. Sci. 2009;50(13):5051.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
To assess the effectiveness and outcomes of involutional entropion repair with lateral tarsal strip and infraciliary rotation.
Retrospective interventional series of 34 patients requiring involutional entropion repair. Patients were treated surgically with lateral tarsal strip procedure and infraciliary rotation. The main outcome measures were successful repair of entropion, symptoms of irritation post-operatively, complications and need for further surgical intervention.
39 eyelids of 34 patients had their entropion repaired with lateral tarsal strip and infraciliary rotation. Follow-up ranging from 1 week to 5 years was obtained in all cases. Median time of follow-up was 6 months. Success was achieved in 38 out of 39 eyelids (97.5%) with relief of ocular irritation and discomfort. No postoperative lower eyelid retraction was observed in any patient. 1 out of 39 (2.5%) eyelids had a recurrence and needed re-operation. Patient was noted to have increased amount of scarring after second operation and was sent for ocular cicatricial pemphigoid work-up.
Lateral tarsal strip with infraciliary rotation appears to be a safe and effective technique to repair involutional eyelid entropion. It has a very high success rate and minimal recurrence rate. Careful examination is required to establish the cause of entropion prior to initiating surgical intervention.
This PDF is available to Subscribers Only