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Everting sutures with a lateral tarsal strip more successful for involutional entropion
Ophthalmology. 2010;117(2):352-355.
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Patients undergoing primary surgical repair for involutional entropion who received everting sutures with a lateral tarsal strip had no failed procedures, while patients who received everting sutures alone had six failures, a study found.
"These data provide strong evidence that success rates at 18 months are higher in patients treated with [everting sutures with a lateral tarsal strip] procedure compared with [everting sutures] alone," the study authors said.
The prospective, randomized comparative trial looked at 63 patients who had primary involutional lower eyelid entropion and needed surgical repair. Of those patients, 36 were randomized to receive everting sutures alone, while 27 patients were randomized to receive everting sutures with a lateral tarsal strip. The two groups had similar baseline characteristics, according to the study.
Postoperative follow-up was at 3 weeks, 6 months, 12 months and 18 months.
Successfully performed surgery was considered a normal eyelid position at rest and "inability to induce entropion on tetracaine provocation testing at or before the 18-month follow-up visit."
The study lost eight patients to follow-up, seven of whom had everting sutures alone. A total of 55 patients completed the follow-up.
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