Correlation between surgical outcomes of senile entropion surgery and dystonia: a retrospective cohort study.
Author: Alejandra Herranz
Base Hospital / Institution: Consorci Sanitari Integral, Barcelona
ePoster presentation
Abstract ID: 24-211
Purpose
Entropion is the inward rotation of the eyelid margin. When it is related to senile involution, it has a prevalence of 2.1% at 65 years of age and 7.6% at 80. A 30% 4-year mortality rate has been described for patients with involutional entropion. We performed a retrospective analysis of our surgical experience in the treatment of senile entropion, correlating the outcomes with the concomitance of dystonias and previous history of ophthalmological procedures and treatments.
Methods
Retrospective cohort study of cases undergoing canthoplasty due to entropion from 2020 to 2023. Data was collected on age, gender, mortality, unilateral or bilateral involvement, history of cataract surgery, ocular hypotensive medication, diagnosis of dystonia, treatment with neuromodulators, surgical technique, recurrences and hypercorrection. The surgical techniques were grouped into 3 groups according to the treatment vector: horizontal, vertical or both.
Results
78 cases were detected, 11 were discarded due to coding errors. 85 eyes of 62 patients with a mean age of 79.7 years (SD: 7.69) were analyzed, of which 36 were men (53.7%). In 44 eyes (51.76%), surgery was performed on both vectors, observing a recurrence rate of 18.18% versus 29.27% in the single vector treatment group (p 0.229). 14 patients had a history of dystonia, demonstrating a significant statistical relationship with bilaterality (p= 0.007) and with higher rate of recurrence after surgical correction in comparison with patients without dystonia (p= 0.005; OR = 4.416667, 95% CI= 1.503713 – 12.97252). No significant correlation with other risk factors was detected. In 6 of the 11 cases in which free margin rotation was performed, hypercorrection was observed after a maximum follow up of 36 months. No recurrences were detected with this technique. A mortality rate of 8.96% was observed 12 months after surgery.
Conclusion
Surgical treatment of entropion in patients with history of dystonia has a greater risk of recurrence than patients without it. Thus, more aggressive correction techniques may be indicated in these patients, such as free margin rotation.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Rebeca | Rosés-Saiz | Consorci Sanitari Integral, Barcelona |
| Yuri | Sánchez-Briz | Consorci Sanitari Integral, Barcelona |
| Cristina | Pujadas-García | Consorci Sanitari Integral, Barcelona |
