Long-term Outcomes of Wies/Quickert Procedure with Horizontal Eyelid Shortening Versus Lateral Tarsal Strip with Everting Sutures for Involutional Entropion: A Retrospective Study
Author: Agnieszka Jaszczuk
Base Hospital / Institution: AJCLINIC
ePoster presentation
Abstract ID: 25-452
Purpose
To evaluate and compare the long-term surgical outcomes and recurrence rates of two different approaches for correcting involutional lower eyelid entropion: the Wies/Quickert procedure combined with horizontal eyelid shortening and the lateral tarsal strip (LTS) procedure combined with everting sutures.
Methods
This retrospective cohort study included patients diagnosed with involutional lower eyelid entropion who underwent surgical repair between 2010 and 2021. Patients were divided into two groups: Group 1 underwent the Wies procedure combined with horizontal eyelid shortening (n = 102 eyes), and Group 2 underwent LTS with everting sutures (n = 67 eyes). The cohort included both primary surgeries and revision surgeries in eyes previously treated for entropion. Follow-up assessments were conducted at 6, 12, and 36 months postoperatively. In Group 1 only, approximately 20% of patients were additionally followed for up to 60 months. Recurrence of entropion was defined as the return of eyelid inversion requiring clinical intervention.
Results
In Group 1, no recurrences were observed at 6, 12, or 36 months. A single recurrence (1 eye, 0.98%) occurred at the 60-month follow-up. In Group 2, one recurrence (1.49%) was recorded at 12 months, and another (1.49%) at 36 months, resulting in a total recurrence rate of 2.98%. No additional follow-up beyond 36 months was performed in Group 2.
Conclusion
Both surgical techniques demonstrated excellent short- and medium-term efficacy in the treatment of involutional entropion. The Wies procedure with horizontal eyelid shortening showed a slightly lower long-term recurrence rate compared to the LTS with everting sutures. These findings support the use of individualized anatomical approaches based on eyelid laxity patterns and surgical history.
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