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      Combined pentagonal resection and inferior retractor plication in involutional entropion

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          Abstract

          Background

          To describe the effectiveness of combined pentagonal resection and inferior retractor plication (PR + IRP) based on the Hill’s procedure for the treatment of primary involutional lower eyelid entropion in the Chinese population.

          Methods

          This is a retrospective review of 52 eyelids of 46 patients who underwent PR + IRP for treatment of involutional entropion between May 2009 and May 2017. Patient demographics, presence of pre-operative laxity, post-operative outcome and presence of complications were all recorded from electronic patient records.

          Results

          A total of 52 eyelids of 46 patients received PR + IRP. None had recurrence of entropion, 1 (2.1%) had residual entropion, 2 eyelids (4.4%) had lower eyelid notching, 1 eyelid (2.2%) had infection and 1 eyelid (2.2%) had overcorrection. The overall success rate was 90.4%.

          Conclusion

          Combined PR + IRP is an effective surgical procedure for primary involutional entropion with low recurrence rate. However, it may carry risk of eyelid notching post-operatively.

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          Most cited references24

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          A randomized controlled trial comparing everting sutures with everting sutures and a lateral tarsal strip for involutional entropion.

          Doris Zuercher, Catey Bunce, James Ng … (2010)
          To determine whether there is a statistically significant difference in the surgical outcome of everting sutures (ES) alone versus everting sutures with a lateral tarsal strip (ES+LTS) in the treatment of involutional entropion. Prospective randomized comparative trial. Sixty-three patients with primary involutional lower eyelid entropion were enrolled in the study. The age range was 54 to 94 years, with a mean age of 77 years. Baseline characteristics of the comparative groups were similar. Patients requiring primary surgical repair for involutional entropion were selected, and those providing informed consent were randomized for surgery. Thirty-six patients were randomized to ES alone, and 27 patients were randomized to ES+LTS. Patients were evaluated at 3 weeks and 6, 12, and 18 months postoperatively. Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on tetracaine provocation testing at or before the 18-month follow-up visit. Eight patients were lost to follow-up (7 had ES alone). Of the 55 patients with complete follow-up data, there were 6 failed procedures in the patients who underwent ES alone and no failed procedures in the patients who underwent ES+LTS (P = 0.02). These data provide strong evidence that success rates at 18 months are higher in patients treated with ES+LTS procedure compared with ES alone. Copyright (c) 2010 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
          Article 0 comments Cited 14 times – based on 0 reviews     Review now
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            Involutional Entropion Repair With Fornix Sutures and Lateral Tarsal Strip Procedure

            Paul M. Rougraff, David Tse, Thomas E Johnson … (2001)
            Article 0 comments Cited 13 times – based on 0 reviews     Review now
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              Involutional Entropion and Ectropion of the Asian Lower Eyelid

              Susan Carter, John Chang, Gary Aguilar … (2000)
              Article 0 comments Cited 12 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Janice J. C. Cheung:
                ORCID: http://orcid.org/0000-0003-1216-729X
                (+852) 3962 1405 , janicejccheung@yahoo.com.hk
                Leanne T. Y. Cheung: leannek612@gmail.com
                Journal
                Journal ID (nlm-ta): BMC Ophthalmol
                Journal ID (iso-abbrev): BMC Ophthalmol
                Title: BMC Ophthalmology
                Publisher: BioMed Central (London )
                ISSN (Electronic): 1471-2415
                Publication date (Electronic): 19 December 2018
                Publication date PMC-release: 19 December 2018
                Publication date Collection: 2018
                Volume: 18
                Electronic Location Identifier: 329
                Affiliations
                [1 ]ISNI 0000000121742757, GRID grid.194645.b, Department of Ophthalmology, LKS Faculty of Medicine, , The University of Hong Kong, ; Hong Kong, Hong Kong, Special Administrative Region of China
                [2 ]ISNI 0000 0004 1799 5171, GRID grid.413284.8, Department of Ophthalmology, , Grantham Hospital, ; Hong Kong, Hong Kong, Special Administrative Region of China
                [3 ]ISNI 0000000121742757, GRID grid.194645.b, Department of Family Medicine and Primary Care, LKS Faculty of Medicine, The University of Hong Kong, ; Hong Kong, Hong Kong, Special Administrative Region of China
                [4 ]ISNI 0000000121742757, GRID grid.194645.b, LKS Faculty of Medicine, , The University of Hong Kong, ; Hong Kong, Hong Kong, Special Administrative Region of China
                Author information
                http://orcid.org/0000-0003-1216-729X
                http://orcid.org/0000-0002-6895-6071
                Article
                Publisher ID: 986
                DOI: 10.1186/s12886-018-0986-9
                PMC ID: 6299990
                PubMed ID: 30567578
                SO-VID: 22b39d90-cfee-4845-8b60-355bcb121e9a
                Copyright © © The Author(s). 2018
                License:

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                Date received : 24 August 2018
                Date accepted : 29 November 2018
                Categories
                Subject: Research Article
                Custom metadata
                issue-copyright-statement © The Author(s) 2018

                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: involutional entropion,lateral tarsal strip,inferior retractor plication,pentagonal resection,lid laxity,chinese
                Data availability:
                ScienceOpen disciplines: Ophthalmology & Optometry
                Keywords: involutional entropion, lateral tarsal strip, inferior retractor plication, pentagonal resection, lid laxity, chinese

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