Involutional Lower Eyelid Entropion: Combined Wheeler's and Wedge Resection of Tarsal Plate

ABSTRACT

BACKGROUND: Involutional entropion; a common eyelid condition; has different methods of surgical correction and attendant variable recurrence rates; depending to a large degree on the method used. OBJECTIVE: To describe and evaluate a modified technique of entropion repair where the Wheeler's method is combined with wedge resection of the tarsal plate. METHODS: This was a chart review study of 49 patients who had the modified technique carried out to correct their involutional entropion. The technique essentially involves dissecting and separating the lower lid pre-tarsal orbicularis muscle from the tarsal plate; resecting a down-base triangular wedge of the tarsus followed by shortening the orbicularis and anchoring it to the tarsal plate superiorly. RESULTS: Over the three and a half-year review period; 54 eyelids of 49 patients underwent the procedure to correct their lower eyelid entropion. Of these; 28(57) were females and 21(43) males with a mean age of 73.5 years. The mean follow up period was 30.3 months. One (1.9) recurrence was recorded in all the cases during the follow-up period. Complications were minimal. CONCLUSION: The combined Wheeler and wedge resection of the tarsal plate produces very good post-operative results and can be used in primary involutional entropion or as the procedure of choice if an initial different surgical technique used fails