Clinical efficacy of Fox surgery, improved Fox surgery and modified orbicularis oculi muscle fold surgery for the patients of entropion

Abstract

Objective To analyze the clinical efficacy of patients with lower eyelid entropion after the treatment of Fox surgery, modified Fox surgery and modified orbicularis oculi muscle fold surgery. Methods 250 patients with lower eyelid entropion were retrospectively analyzed. The modified orbicularis oculi muscle fold surgery (group A), Fox surgery (group B), and modified Fox surgery (group C) were used for lower eyelid entropion. Results Postoperatively, No skin redness and swelling occured in group A, and mild skin redness appeared in 8 and 2 cases in groups B and C, respectively; the difference was statistically significant between the three groups (P<0.05); No eyelid hyperemia was found in groups A and C, but 6 cases presented with eyelid margin hyperemia in group B; the difference was statistically significant between the three groups (P<0.05). Long term follow-up showed that the satisfaction score of group A was (8.23±1.08), B group was (7.54±1.09), C group was (9.26±1.94), and the difference between three groups was statistically significant (P<0.05). In addition, the long-term recurrence rate showed that the recurrence rate in group C was the lowest, followed by group A, and the recurrence rate in group B was the highest, and the differences between various groups were statistically significant (P<0.05). Conclusions The improved Fox surgery has better satisfaction and lower recurrence rate in patients with lower eyelid entropion, and especially the long-term effect is more definite. Key words: Fox surgery; Improved Fox surgery; Improved orbicularis oculi muscle fold; Lower eyelid entropion; Satisfaction