Офтальмохирургия (Apr 2018)
A simple approach to the surgery of senile entropion of lower eyelids
Abstract
Introduction. The everting sutures in the correction of lower eyelid in case of involutional entropion, known since the time of Hippocrates, is a simple and accessible technique. However, the recurrences of lower eyelid entropion occur in 7.3% to 49.3% of cases. In all cases, the everting sutures are applied in a single row and using different materials from the 4/0 chromic gut sutures to the 5/0 monofilament sutures. Purpose. To assess the efficacy of single- and multi-row everting sutures in the correction of lower eyelid involutional entropion using absorbable sutures 6/00 (PGA Resorba®, Germany). Material and methods. The clinical trial included 26 eyelids in 23 patients with involutional entropion of lower eyelids. Patients were assessed 2 weeks and 1,3,6,12 months postoperatively. Results. The average age was 74.13±9.2 years (57-87 years). The entropion of lower eyelid in the moderate degree was diagnosed in 16/26 (61.54%), mild – in 6/26 (23.08%), severe – in 4/26 (15.38%) patients. The Pinch-test value (test for distraction) was 8.12±1.45mm. The vertical excursion of lower eyelid averaged 4.38±1.17mm. All the patients during the examination had a discrepancy between the retractor of the lower eyelid. The mean duration of post-operative follow-up was 10.5±3.1 months (1-12 months). recurrences were detected in 5/23 (21.74%) of patients after single-row of sutures within the 1-year follow-up. Patients who were treated with multi-row eversion sutures had no recurrences. Any complications in the form of inflammatory reactions to the sutures were not detected in all observed patients. Conclusion. The single- and multi-row everting sutures in the correction of lower eyelid involutional entropion using absorbable sutures 6/0 showed their effeciency in the form of a stable position of the eyelid in 78.26% of cases during the entire follow-up period.
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