Treatment of Entropion – A modified Technique

10.36351/pjo.v36i3.1020

Abstract

Purpose: To study the results of a modified technique of Entropion correction at a Tertiary care hospital.
Study Design: Quasi experimental study.
Place and Duration of Study: Layton Rahmatullah Benevolent Trust (LRBT), a tertiary care teaching Eye
hospital, Korangi, Karachi, for a duration of six months, from January 2018 to June 2018.
Material and Methods: Patients with senile entropion were included in the study. Patients with recurrent
entropion, cicatricial entropion, chronic/acute ocular and adnexal infection were excluded. Three equally spaced
double-armed 6–0 vicryl horizontal mattress sutures were used to close the skin and orbicularis muscle of the
wound with a bite of the retractors in the center and a 5 mm silicone tube bolster place in the superior loop. Postoperative
treatment of antibiotics, anti-inflammatory drugs and topical lubricant eye gel were given. Patients were
examined on 11stpost operative day and then weekly interval for up to one month and thereafter every month for
up to six months.
Results: There were 40 eyes of 30 patients with ages ranging from 50 to 65 years. Twenty (66%) patients had
unilateral repair and 10 (33%) had bilateral repair done. No recurrence was seen in 39 (97.5%) eyes at the end
six months after surgery. Out of the 40 patients, only 2 (5%) patients complained of heaviness which went away
eventually with the disintegration of the external tamponade.
Conclusion: This modified technique of entropion repair using skin excision with retractor plication in the wound
has a favorable outcome with minimum recurrences and complications.