Transconjunctival Lower Eyelid Involutional Entropion Repair: Long-term Follow-up and Efficacy

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.