title: Effective small-incision surgery for involutional lower eyelid entropion.
abstract: OBJECTIVE
  The aim of this study was to develop an effective and minimally invasive operation to correct lower eyelid entropion that would address both the horizontal and vertical laxity.
  
  
  METHODS
  A prospective, noncomparative, interventional case series.
  
  
  METHODS
  Thirty-five consecutive patients with involutional entropion, aged 62 to 92 years (mean, 77.1 years), had surgery on 45 lower eyelids. Of the 45 procedures, 33 (73%) had a primary procedure and 12 (27%) were reoperations.
  
  
  METHODS
  A lateral tarsal strip with diagonal tightening of the orbital septum and lower lid retractors to the lateral orbital rim was performed via a 1-cm lateral canthal incision.
  
  
  METHODS
  Complications and surgical outcome were monitored clinically for between 12 and 24 months after surgery.
  
  
  RESULTS
  The results were analyzed from 42 eyelids (33 patients) with a mean follow-up of 17.1 months (range 12-24 months). Two patients died and one dropped out of the study 3 months after the second eyelid operation. In 36 cases (86%), the entropion was cured. Transient lateral orbital rim tenderness was noted in six cases (14%), and one patient had a wound infection. Anatomic recurrences were detected in six eyelids of six patients, and five of these (83%) were asymptomatic.
  
  
  CONCLUSIONS
  This surgical approach has been found effective in 86% of eyelids. Adequate clinical followup has proven essential for accurate evaluation of entropion surgery.
authors.affiliation: Western Eye Hospital, London, UK.
authors.forename: J M
authors.initials: JM
authors.lastname: Olver
authors.forename: J A
authors.initials: JA
authors.lastname: Barnes
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D013508:Ophthalmologic Surgical Procedures; D011183:Postoperative Complications; D011446:Prospective Studies; D012008:Recurrence; D016896:Treatment Outcome