[Wide everting suture for involutional lower lid entropion]

Abstract

Purpose: To describe a wide everting suture technique for involutional lower lid entropion and evaluate the outcomes of the procedure.

Methods: The procedure was performed as a modified Komoto procedure except that a wide suture was placed along the whole inversion lid length using a single nonabsorbable stitch. The criteria for recurrence were eyelashes contacting the cornea and keratopathy. The medical records of patients with a minimum follow-up of 3 months after the surgery were retrospectively examined.

Results: This study included 41 lower eyelids of 36 patients. The mean postoperative follow-up period was 10.8 months (range, 3-30 months). The recurrence rate was 7.3% (3/41). There were no postoperative complications such as ectropion.

Conclusions: We found the wide everting suture was a simple, quick and minimally-invasive method of treating involutional entropion. Our results suggest that this procedure might correct both vertical and horizontal laxity and be effective for involutional entropion.