Oral abstract presentation times
11th Rapid Fire
Abstract ID: 26-163
A Combined Advancement and Plication Procedure for Involutional Lower Eyelid Entropion: Efficacy and Safety
Author: Masahiro Fujimoto Base Hospital / Institution: Oculofacial Clinic Kyoto
Presentation Type: Rapid Fire Presentation Session: Eyelid FunctionalDate: 11th SeptemberTime: 18.14
Purpose
To evaluate the clinical outcomes of a combined lower eyelid retractor advancement and plication procedure for the surgical management of involutional lower eyelid entropion.
Methods
Twenty patients (26 eyelids) who underwent the combined lower eyelid retractor (LER) procedure as the primary surgery for involutional lower eyelid entropion between October 2021 and June 2023 were retrospectively analyzed. All patients were followed for a minimum of 6 months postoperatively. The procedure involved a skin incision 2 mm inferior to the lash line, followed by LER advancement with an approximately 8 mm central fold to achieve vertical shortening. LER plication was additionally performed medially and laterally by passing sutures from the orbicularis oculi muscle surface through the palpebral conjunctiva inferior to the tarsus and back with a wider bite, to achieve horizontal shortening. Operative time, success rate, and postoperative complications were assessed.
Results
The cohort comprised 9 males (14 eyelids) and 11 females (12 eyelids), with a mean age of 72.5 ± 9.8 years. Mean operative time was 13 minutes 18 seconds ± 1 minute 10 seconds per eyelid. The success rate at 6 months postoperatively was 96.2% (25/26 eyelids). Mild lower eyelid ectropion was noted in 6 eyelids at 1 week postoperatively but resolved completely by 3 months. No other complications were recorded.
Conclusion
The combined LER advancement and plication procedure addresses both vertical and horizontal components of involutional lower eyelid entropion through a single, time-efficient operation. The high success rate and self-limiting nature of the transient postoperative ectropion support its safety profile. Despite the retrospective design and limited follow-up period, this technique appears to be an efficient and reliable surgical option. Prospective studies with longer follow-up are warranted to confirm these findings.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Ayaka | Kizaki | Oculofacial Clinic Kyoto |
| Tomoyuki | Kashima | Oculofacial Clinic Tokyo |