External (ubciliary) v internal (tranconjunctival) involutional entropion repair

Purpoe To compare urgical outcome of internal (tranconjunctival) v external (ubciliary) involutional entropion repair. Deign Retropective, conecutive cae erie. Method Electronic medical record review of all patient who underwent involutional entropion repair at the Jule tein Eye Intitute over a 4-year period wa performed. main outcome meaure: Anatomic and functional ucce, recurrence rate, and complication. Reult Forty-nine eye (39 patient) were operated. Twenty-nine eye underwent ubciliary inciion repair; 20 eye underwent tranconjunctival repair, both with lower lid retractor reinertion. Good correlation wa found between two maked oberver in grading urgical outcome (on a cale of 1 to 4) (r = .76, P < .001). Forty-two cae (84%) achieved good urgical repair and improvement in ymptom. Recurrence wa noticed in 4 eye (8.2%). Recurrence wa higher with the internal approach (15% v 3% with ubciliary inciion), but thi wa not tatitically ignificant (P = .14). Complication included: three cae (8.2%) with mild eyelid retraction that were treated conervatively, three cae with potoperative ectropion (all in the external approach, two of which lateral canthal reupenion wa not performed), and two cae (4.1%, one cae in each group) with pyogenic granuloma. Concluion urgical correction of involutional entropion by reinertion of lower eyelid retractor ha imilar outcome with internal (tranconjunctival) and external (ubcilliary) approache. Although not tatitically ignificant, internal repair may reult in a higher recurrence rate, wherea external repair may how more potoperative ectropion, mot probably attributable to carring of the anterior lamella. Lateral canthal reupenion, when needed, may reduce the rate of potoperative ectropion.