Transconjunctival lower eyelid involutional entropion repair: Long-term follow-up and efficacy

Abstract

Objective To evaluate the safety and long-term efficacy of a modified transconjunctival involutional lower eyelid entropion repair. Design Retrospective, noncomparative case series and survey. Participants Eighty-nine consecutive patients with involutional entropion (114 eyelids). Methods Modified transconjunctival involutional lower eyelid entropion repair technique was performed on 114 eyelids of 89 consecutive patients over a 7-year period. All cases had a minimum of 3 months of initial office follow-up, with extended follow-up obtained via standardized telephone interviews. Main outcome measures Surgical success and entropion recurrence. Results Surgery was completed successfully with no complications in all 114 cases. All cases demonstrated correction of entropion at the 3-month office follow-up. Long-term follow-up (mean, 38.3 months; range, 4–85 months) was obtained in 75% of cases. Recurrence was noted in only one patient (two eyelids [2%]). Conclusions Modified transconjunctival lower eyelid entropion repair is a time-efficient, safe, and efficacious technique. In contrast to a recent report using another transconjunctival technique, we found a relatively low rate of recurrence on extended follow-up.