Abstract ID: 26-474
Mass Closure with Polypropylene in Lateral Wedge Excision for Eyelid Laxity: A Surgical Study of a Modified Technique
Author: Carina Luxhoj Base Hospital / Institution: Western Eye Hospital
Presentation Type: ePoster Presentation
Purpose
To evaluate the safety, efficacy, and cosmetic outcomes of a modified lateral wedge excision technique for the management of eyelid laxity in entropion and ectropion, using mass closure with polypropylene (Prolene) rather than conventional layered closure.
Methods
A retrospective cohort study was conducted on patients undergoing surgical correction of involutional entropion and ectropion with horizontal eyelid laxity. All included cases were treated using a lateral wedge excision technique. Unlike the traditional approach, closure was performed using a single-layer (mass) closure with Prolene sutures. Both 6-0 and 5-0 Prolene was used based on surgeon preference.Data collected included patient demographics, indication for surgery, suture type, complication rates (including wound dehiscence, infection, and recurrence) and cosmetic outcomes/patient satisfaction. These outcomes were compared against established benchmarks for lateral tarsal strip (LTS) procedures and traditional layered closure techniques.
Results
63 patients (68 eyelids) (further data being analysed) were included however an operation note clearly mentioning mass closure resulted in 17 records. Wound dehiscence occurred in 25% (1 of 4 cases) using 6-0 Prolene and 20% (2/10) following transition to 5-0 Prolene. These were usually related to infection. Cosmetic outcomes were subjectively rated as excellent in nearly all cases, with minimal visible scarring and no granulation tissue at the incision site. Recurrence of entropion/ectropion was observed in 12% (2/17) comparable to reported rates for repair procedures.
Conclusion
Mass closure with Prolene in lateral wedge excision appears to be a safe and effective alternative to traditional layered closure techniques. The modification to 5-0 Prolene may reduce the risk of wound dehiscence. This approach offers favourable cosmetic outcomes, with minimal scarring and absence of granulation tissue, while maintaining recurrence rates comparable to established techniques. Further comparative studies are warranted to validate these findings.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| John | Vekinis | Western Eye Hospital |
| Ahmad | Aziz | Western Eye Hospital |