Correction of involutional entropion with retractor redirection.
The study aims to report the surgical outcome of a retractor redirection procedure for involutional entropion repair for Asians. The study included all cases diagnosed with involutional entropion and significant ocular irritation who presented from 2008 to 2012. Sixty-seven eyelids in 54 patients were included in this study. All cases were operated on by one surgeon and had a minimum of 12-months follow-up. Success was defined as cases showing no recurrence of entropion with forceful eyelid squeezing postoperatively. A retrospective chart review was performed to assess the success rate, recurrences and complications of the procedure. During a mean follow-up period of 26.2 months (range, 12-53 months), 5 patients died during the study period. Two eyelids (3%) of one patient had a recurrence at 34 months postoperatively. One eyelid (1.5%) with a significant horizontal laxity developed postoperative ectropion and required a secondary horizontal shortening procedure. No other postoperative complications or dissatisfaction were reported. The retractor redirection procedure aims to repair the retractors and prevent orbicularis muscle overriding via inserting the retractors to the anterior lamellae. It yields a long-term success rate of 95.5% and is an effective technique for correcting involutional entropion.
a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
Yen-Chang
YC
Chu
b Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Keelung , Taiwan.
Ju-Wen
JW
Yang
a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
Yueh-Ju
YJ
Tsai
a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
Shu-Ya
SY
Wu
a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
Yi-Lin
YL
Liao
a Department of Ophthalmology, Chang Gung Memorial Hospital , Chang Gung University, College of Medicine , Taoyuan , Taiwan.
Hsueh-Yen
HY
Chu
D000368:Aged; D000369:Aged, 80 and over; D044466:Asian People / Q000208:ethnology; D004774:Entropion / Q000208:ethnology / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery*; D013508:Ophthalmologic Surgical Procedures; D012008:Recurrence; D012189:Retrospective Studies; D013624:Taiwan / Q000453:epidemiology
Involutional entropion; recurrence; redirection; retractor