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

Abstract

OBJECTIVE:

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.

DESIGN:

Prospective randomized comparative trial.

PARTICIPANTS:

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.

METHODS:

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.

MAIN OUTCOME MEASURES:

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.

RESULTS:

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).

CONCLUSIONS:

These data provide strong evidence that success rates at 18 months are higher in patients treated with ES+LTS procedure compared with ES alone.

• Authors: Marius A Scheepers, Ravi Singh, James Ng, Doris Zuercher, Andrew Gibson, Catey Bunce, Ken Fong, Michel Michaelides, Jane Olver
• Journal: Ophthalmology (Ophthalmology) Vol. 117 Issue 2 Pg. 352-5 (Feb 2010) ISSN: 1549-4713 [Electronic] United States
• PMID: 19875173 (Publication Type: Comparative Study, Journal Article, Multicenter Study, Randomized Controlled Trial)
• Copyright: Copyright (c) 2010 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

Chemical References

• Polyglactin 910

Topics

• Aged
• Aged, 80 and over
• Entropion (surgery)
• Eyelids (surgery)
• Female
• Humans
• Male
• Middle Aged
• Ophthalmologic Surgical Procedures
• Polyglactin 910
• Prospective Studies
• Suture Techniques
• Sutures
• Tendons (surgery)
• Treatment Outcome