Abstract ID: 26-561
Aetiology-Based Outcomes in Upper Eyelid Entropion Repair: A 10-Year Retrospective Study
Author: Hojr Jaberansari Base Hospital / Institution: The Royal Wolverhampton NHS Trust
Presentation Type: ePoster Presentation
Purpose
Upper lid entropion presents a surgical challenge, particularly in cicatricial and laxity-related disease, with recurrence rates varying by aetiology. Outcomes following anterior lamellar repositioning (ALR) are heterogeneous, and data remain limited especially in specific subgroups such as floppy eyelid syndrome (FES). This study evaluated long-term outcomes following upper lid entropion repair over a 10-year period.
Methods
A retrospective review was conducted of all patients undergoing upper lid entropion repair between 2015 and 2025. All patients underwent ALR, with FES patients additionally undergoing combined horizontal shortening. The primary outcome was recurrence requiring revision surgery; secondary outcomes included mild misdirected eyelashes (ML) managed conservatively.
Results
Twenty-one patients were identified, including FES (n=6), severe blepharitis (n=4), trachoma (n=3), ocular cicatricial pemphigoid (OCP) (n=3), iatrogenic causes (n=3), chemical injury (n=1), post-enucleation socket syndrome (n=1). Overall recurrence was observed in 23.8% of cases, with 80.0% of these occurring within 12 months. Highest recurrence, was noted in FES with 50.0% of FES patients requiring revision surgery. In OCP, 33.3% had recurrence and required revision surgery and 33.3% had ML. No recurrence was observed in trachomatous, blepharitic, chemical injury, or post-enucleation groups.
Conclusion
Surgical outcomes varied considerably by aetiology. FES was associated with the highest recurrence despite combined ALR and horizontal shortening, suggesting persistent mechanical instability. This was followed by OCP, likely reflecting ongoing cicatricial activity . In contrast, trachomatous and blepharitic cases showed favourable outcomes. These findings highlight variability in outcomes and the limited evidence base surrounding recurrence in upper lid entropion, particularly in FES-associated disease.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Rina | Bhatt | The Royal Wolverhampton NHS Trust |