Comparing Surgical Results Of Lower Eyelid Retractor Advancement And Retractor Advancement With Lateral Tarsal Strip For Involutional Entropion

Objective: This study aimed to examine the efficiency of lower eyelid retractor (LER) advancement alone and LER advancement with a lateral tarsal strip (LTS) procedure for involutional lower eyelid entropion treatment.Methods: In this study, 26 eyelids of 14 patients who underwent LER advancement + LTS (group 1) and 26 eyelids of 24 patients who underwent LER advancement alone (group 2) were retrospectively examined. Patients with or without horizontal laxity were included. The surgery was considered successful with a completely corrected normal eyelid position.Results: A total of 52 eyelids of 38 patients were included. No relapse was noted in group 1, whereas seven eyelids (26.9%) in group 2 had a relapse, as noted in the 12-month postoperative follow-up examinations (p=0.004). One patient in group 2 had ectropion after 2 months. A significant difference was found between the surgical failure rates of the LER advancement + LTS and LER advancement alone.Conclusion: LER advancement + LTS was entirely successful. The study emphasized the significance of assessing the horizontal eyelid laxity before surgery to avoid recurrence. Those who underwent LER advancement + LTS, rather than LER advancement alone, had higher rates of successful outcomes.