title: Success rate of nurse-led everting sutures for involutional lower lid entropion.
abstract: PurposeTo evaluate safety and long-term recurrence rate of entropion in patients having everting sutures (ES) for involutional entropion by ophthalmic nurses in a real clinical setting.Patients and methodsRetrospective notes review of all patients who had an outpatient ES by our trained ophthalmic nurses over 2 year's time period. Outcome measures were complication and recurrence rates. Those with less than 3 years' recorded follow-up were contacted by paper questionnaire.Results90 lids of 82 patients analysed. Mean age was 78 (range 54-97). In total, 82% had no entropion surgery before, whereas 13% had previous ES and 5% one or more other procedures. Questionnaires were sent to 38, with return rate of 81%. Recurrence rate was 21.1% after 36-60 months follow up from nurse-performed ES, with mean time to recurrence of 15 months (SD 13 months). A total of 32% of patients died during the follow-up period. Mean time between the procedure and death is 20.5 months. When ES were repeated twice (11 patients), recurrence rate was still 20%. No patients had any complications.ConclusionES can be safely performed by ophthalmic nurses, with success rate comparable to the same technique performed by ophthalmologists.
authors.affiliation: Bristol Eye Hospital, Bristol, UK.
authors.forename: B R
authors.initials: BR
authors.lastname: Mohammed
authors.affiliation: Bristol Eye Hospital, Bristol, UK.
authors.forename: R
authors.initials: R
authors.lastname: Ford
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D004774:Entropion / Q000451:nursing* / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D013536:Suture Techniques / Q000295:instrumentation / Q000451:nursing*; D013537:Sutures; D016896:Treatment Outcome