title: Long-term surgical outcomes of Quickert sutures for involutional lower eyelid entropion.
abstract: OBJECTIVE
  To determine the long-term surgical outcomes associated with the use of Quickert sutures (Q-sutures) for involutional entropion and elucidate the risk factors for postoperative recurrences.
  
  
  METHODS
  This is a retrospective, interventional case series. We recruited patients suffering from involutional entropion who were treated with Q-sutures during the period from January 2008 to August 2010. Preoperative clinical characteristics and surgical outcomes including recurrence at 1, 6, 12, and 24 months were investigated by reviewing the medical charts.
  
  
  RESULTS
  Of 85 patients, 69 attended each follow-up visit and were included in the analysis. Thirty-four patients (49.3%) experienced recurrences within 2 years. The recurrence rate was 5 of 69 (7.2%) at 1 month, 15 of 64 (21.6%) at 6 months, 9 of 49 (13%) at 12 months, and 5 of 40 (7.2%) at 2 years. Multiple logistic regression analysis showed that men and patients with lower-lid laxity (OR = 2.852 [95% CI: 1.005-8.092] and OR = 3.780 [95% CI: 1.231-11.614], respectively) were susceptible to postoperative recurrences.
  
  
  CONCLUSIONS
  The recurrence rate among patients treated with Q-sutures was highest at the 6-month follow-up visit. Alternative surgical options should be considered in males and those with lower-lid laxity in order to prevent recurrences.
authors: Department of Ophthalmology, College of Medicine, Soonchunhyang University, Bucheon, 420-767, Republic of Korea.
authors: Sun Young
authors: SY
authors: Jang
authors: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul, 150-034, Republic of Korea.
authors: Se Rang
authors: SR
authors: Choi
authors: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul, 150-034, Republic of Korea.
authors: Jae Woo
authors: JW
authors: Jang
authors: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul, 150-034, Republic of Korea.
authors: Sung Joo
authors: SJ
authors: Kim
authors: Department of Ophthalmology, Kim's Eye Hospital, Myung-Gok Eye Research Institute, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul, 150-034, Republic of Korea. Electronic address: hs0903@kimeye.com.
authors: Hye Sun
authors: HS
authors: Choi
mesh_terms: D000368:Aged; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011183:Postoperative Complications; D012008:Recurrence; D012189:Retrospective Studies; D012737:Sex Factors; D013536:Suture Techniques; D016896:Treatment Outcome
keywords: Entropion; Eyelids; Ophthalmologic surgical procedures; Recurrence; Suture techniques; Treatment outcome