Abstract

PurposeTo describe a surgical technique that involves combining a lateral tarsal strip with one everting suture and one inferior retractor plication suture for correction of involutional lower eyelid entropion. MethodsA retrospective review of patients who underwent correction of lower eyelid entropion with a combination of lateral tarsal strip, everting suture and inferior retractor plication was conducted. ResultsSixty-six patients (42 males and 24 females) underwent this surgical procedure between December 2020 and October 2022. Complete resolution of eyelid malposition was noted in all patients at 1-month follow-up. No recurrences were noted in the follow-up period extending up to 22 months after surgery. One patient developed a suture granuloma at the lateral canthus, which resolved with conservative management with topical steroids. One patient developed a hemorrhage 4days post-operatively, which resolved spontaneously. No other intra-operative or post-operative complications were noted. ConclusionThe combination of lateral tarsal strip with everting suture and inferior retractor plication suture achieved a good surgical success rate in correcting involutional lower eyelid entropion.

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