Mini-incisional Buried Everting Suture and Transcanthal Canthopexy for Involutional Lower Eyelid Entropion: A Retrospective Study.
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Abstract
Background: Everting suture is a simple technique for correcting involutional lower eyelid entropion but is limited by high recurrence, ectropion from unaddressed lid laxity, and granuloma risk from exposed sutures. Combining it with transcanthal canthopexy and buried sutures may reduce these complications.
Purpose: This study aims to evaluate the clinical efficacy of the everting sutures with transcanthal canthopexy (ESTC) technique, utilizing a buried suture method, for the treatment of lower eyelid involutional entropion in Thai patients.
Methods: A retrospective, non-comparative, interventional case series was conducted by reviewing medical records at Samutprakarn Hospital, Thailand. Data were collected from patients diagnosed with involutional entropion who underwent the ESTC technique between January 2021 and December 2023. The primary outcome was the recurrence rate and complications. Secondary outcomes included demographic data, medical history, medication use, severity of eyelid laxity and meibomian gland dysfunction, operative duration, and follow-up time.
Results: Fifty-nine eyelids from 50 patients were included, with an average age of 75.69 ± 7.6 years and a male-to-female ratio of 0.92:1. Among the treated eyelids, 20 (33.9%) underwent ESTC while patients were on aspirin or warfarin. The mean postoperative follow-up period was 15.59 ± 8.13 months, with a recurrence rate of 18.64% observed at a mean follow-up of 11.91 ± 8.46 months. No perioperative or postoperative complications were reported.
Conclusion: The everting suture with transcanthal canthopexy technique demonstrates a promising lower recurrence rate compared to conventional methods for correcting involutional lower eyelid entropion in Thai patients, even in those receiving anticoagulant therapy in over 30% of cases.
Conflicts of Interest: none
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