Canadian Journal of Ophthalmology

The official journal of the Canadian Ophthalmological Society


Volume 37, no.4, June 2002

  
Tarsal strip combined with modified Quickert–Rathbun sutures for involutional entropion

Lawrence H. Quist, MD


ABSTRACT

Background:
Involutional entropion is a common problem in the elderly population. The author describes a method of repair of involutional entropion that is a combination and modification of two existing surgical techniques.

Methods:
Review of the cases of 20 consecutive patients (22 lids) who underwent surgery for involutional entropion. All surgical procedures were performed by the author. Repair consisted of a tarsal strip procedure combined with a modification of the Quickert–Rathbun suture technique. All patients had at least 1 year of follow-up.

Results: Surgery was successful in 21 (95%) of the 22 eyelids. One patient was noted to have recurrent entropion at 21 months. The average length of follow-up was 33.3 months (range 12 to 79 months).

Interpretation: The surgical technique described is straightforward and reliable for the correction of involutional entropion.