Transconjunctival lower eyelid involutional entropion repair: long-term follow-up and efficacy.
OBJECTIVE
To evaluate the safety and long-term efficacy of a modified transconjunctival involutional lower eyelid entropion repair.


METHODS
Retrospective, noncomparative case series and survey.


METHODS
Eighty-nine consecutive patients with involutional entropion (114 eyelids).


METHODS
Modified transconjunctival involutional lower eyelid entropion repair technique was performed on 114 eyelids of 89 consecutive patients over a 7-year period. All cases had a minimum of 3 months of initial office follow-up, with extended follow-up obtained via standardized telephone interviews.


METHODS
Surgical success and entropion recurrence.


RESULTS
Surgery was completed successfully with no complications in all 114 cases. All cases demonstrated correction of entropion at the 3-month office follow-up. Long-term follow-up (mean, 38.3 months; range, 4-85 months) was obtained in 75% of cases. Recurrence was noted in only one patient (two eyelids [2%]).


CONCLUSIONS
Modified transconjunctival lower eyelid entropion repair is a time-efficient, safe, and efficacious technique. In contrast to a recent report using another transconjunctival technique, we found a relatively low rate of recurrence on extended follow-up.
Khan
Shawn J
SJ
The Lions Eye Institute, Department of Ophthalmology, Albany Medical College, Albany, New York 12008, USA.
Meyer
Dale R
DR
D000368:Aged; D003228:Conjunctiva / Q000601:surgery*; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D011379:Prognosis; D012189:Retrospective Studies; D012449:Safety