Abstract
Purpose :
To describe patient characteristics and outcomes after entropion and ectropion surgical repair.
Methods :
A retrospective chart review was performed of all patients who underwent entropion and/or ectropion repair within a 2-year interval (2013-2015) in the practice of one surgeon (PRR). Data included patient’s age, gender, surgical indication, medical comorbidities, diagnosis, procedure(s) performed, time interval from surgery to follow-up appointment, and postoperative complications.
Results :
A total of 61 entropion repairs and 112 ectropion repairs were performed on 122 patients. The patients included 61 women and 61 men. Average age was 76.49 years (women 77.33, men 75.65). Of the 50 patients with entropions, 38% were men and 62% were women; average age was 77.72; 12 patients (24%) had bilateral entropions. Of the 80 patients with ectropions, 58.75% were men and 41.25% were women; average age was 76.35; 33 patients (41.25%) had bilateral ectropions. Entropion was more common in women and ectropion was more common in men (p=0.02). Bilateral ectropion was more commonly observed than bilateral entropion (p=0.04). There was no statistical difference in age between the entropion and ectropion groups (p=0.52). A total of 8 patients (6.56%) had entropion of one eye and ectropion of the other. No intraoperative complications were reported. Average postoperative follow-up was 48 days. Over the 2 year period, recurrent ectropion was noted in 6 cases. No recurrences were reported in patients receiving entropion repair. Recurrence occurred less frequently in patients receiving entropion repair (p=0.03).
Conclusions :
Entropion was found to be more common in women and ectropion more common in men. Bilateral disease was observed more frequently in patients with ectropion. A considerable proportion of patients had a diagnosis of entropion of one eye and ectropion of the other. Recurrence was more common among patients undergoing ectropion repair.
This is an abstract that was submitted for the 2016 ARVO Annual Meeting, held in Seattle, Wash., May 1-5, 2016.