Entropion – Wies vs. Jones
Author: Snezhana Murgova
Base Hospital / Institution: Medical University Pleven
ePoster presentation
Abstract ID: 24-448
Purpose
Entropion is a common eyelid disease with various causes. It represents a change in the position of the eyelid, in which the edge is turned inward towards the eyeball. If left untreated, it can lead to a number of eye diseases, including conjunctivitis, keratitis, corneal scarring and perforation, which in turn can cause vision loss. We want to compare two of the possible entropion reconstruction options – the Wies operation versus the Jons operation.
Methods
We selected 20 well-documented retrospective cases of patients operated over 3 years and followed up for a minimum of 6 months. Ten patients were operated with Wies technique and ten with Jones. All other surgical techniques suitable for entropion as well as combined operations were not included in the sample so as not to alter the direct comparison of the two methods.
Results
The study compared the degree of entropion correction, cosmetic outcome and recurrences up to 1 year. A satisfactory functional result was obtained in all the patients. As cosmetic results – our observation showed an advantage of the Wies technique. In the Jones operation, a plication of the depressor muscle was made, leading to its shortening. That plication caused a slight thickening of the lower eyelid below the operative incision, making the operative cicatrix more visible. The posterior lamella remained intact. In the Wies operation, the incision was in the entire thickness of the eyelid and covered both lamellae. The cutaneous cicatrix was almost imperceptible at the 2nd operative month, while the conjunctival cicatrix persisted until about the 6th month. We had 2 cases of relapse with Wies and none with Johns during the first year.
Conclusion
In the surgical treatment of entropion, both techniques found their application, but our results indicated that the Weis technique was suitable for manifest cases of entropion – due to it showed greater entropy reduction. It showed better aesthetic postoperative results as well and was the method of choice for reoperation of the same disease. On the other hand, the Jones operative technique was also a good option for mild to moderate entropion with no relapses.
Additional Authors
| First name | Last name | Base Hospital / Institution |
|---|---|---|
| Georgi | Balchev | Medical University Pleven |
