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Modified lateral tarsal strip for involutional entropion and ectropion surgery

  • Oculoplastics and Orbit
  • Published:
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Abstract

Purpose

Our purpose was to assess our outcomes in involutional lower eyelid ectropion and entropion surgery after horizontal eyelid tightening by a modified tarsal strip technique.

Methods

A prospective study of 88 eyelids with ectropion and 96 with entropion was performed. Patients were randomly distributed into two groups: the control group included 90 eyelids (46 entropion and 44 ectropion) and the other group of 94 eyelids (50 entropion and 44 ectropion). The control group was treated with a conventional tarsal strip, whereas the second group underwent the same surgery except for a modified suture placement of the tarsal strip different in patients with ectropion and entropion. The mean follow-up was 5.4 years. Horizontal eyelid laxity, orbicularis muscle and lower eyelid retractors function were measured prior and after surgery. Recurrence rate was also evaluated.

Results

Recurrent entropion occurred in eight eyelids (17.4 %) treated with conventional tarsal strip, while only two eyelids (4 %) showed recurrence after surgery in the group treated with the modified technique. Recurrence ectropion was only found in one eyelid (2.3 %) in the control group. Pathological horizontal laxity was present in all patients at the baseline study. After surgery, the horizontal laxity improved in both groups, we found significant differences in the patients treated with the modified technique (P=0.04).

Conclusions

The modified suture placement of the tarsal strip reported in this work improves the lower eyelid stability and prevents future recurrences after surgery. This modified technique is useful for the management of patients with entropion and moderate eyelid dysfunction retractors without other surgical procedures.

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Authors and Affiliations

  1. Ophthalmology Service, Hospital Cruz Roja, Avenida Reina Victoria n° 26, 28003, Madrid, Spain

    José Santiago López-García

  2. Ophthalmology Service, Hospital Infanta Sofía, San Sebastián de los Reyes, Madrid, Spain

    Isabel García-Lozano

  3. Ophthalmology Service, Hospital Cruz Roja, Madrid, Spain

    Carlos Giménez-Vallejo, Belén Jiménez, Álvaro Sánchez & Isabel Elosua de Juan

Authors
  1. José Santiago López-García
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  2. Isabel García-Lozano
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  3. Carlos Giménez-Vallejo
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  4. Belén Jiménez
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  5. Álvaro Sánchez
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  6. Isabel Elosua de Juan
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Corresponding author

Correspondence to José Santiago López-García.

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Funding

The Instituto de Salud Carlos III and the Fundación Mutua Madrileña provided financial support for the statistical study. The sponsor had no role in the design or conduct of this research.

Conflict of Interest

All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interest; and expert testimony or patent-licensing arrangements), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institution and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Additional information

The Authors certify that this work has not been published and is not being considered for publication in another journal. At the same time they transfer the copyright to Graefe’s Archive for Clinical and Experimental Ophthalmology. All authors have contributed to the research and article preparation, and they have approved the final version of this work.

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López-García, J.S., García-Lozano, I., Giménez-Vallejo, C. et al. Modified lateral tarsal strip for involutional entropion and ectropion surgery. Graefes Arch Clin Exp Ophthalmol 255, 619–625 (2017). https://doi.org/10.1007/s00417-016-3536-2

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  • DOI: https://doi.org/10.1007/s00417-016-3536-2

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