2015-33: Efficacy and complications of lateral block excision combined with retractor reinsertion for lower eyelid involutional entropion
Involutional entropion of the lower eyelid is an acquired condition that mainly affects the elderly population. Our standard treatment comprises correction of eyelid laxity in the lateral canthal angle and imbrication of the lower eyelid retractors. For the two or three imbricating sutures and skin closure, polypropylene 5-0 is routinely used. We changed our surgical procedure slightly. In one group, the non-resorbable sutures were replaced by resorbable sutures. For the (2 or 3) imbricating sutures we used polyglactic acid 5-0 (Vicryl). These sutures were not passed through the skin but the knot was buried under the skin. For skin closure we used rapidly resorbing polyglactic acid 6-0 (Vicryl rapide). Generally, a running suture was used under the eyelid margin. The skin at the lateral eyelid margin was closed with one or two interrupted sutures.
The objective of this study is to evaluate the results of this combined technique in our hospital.