A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion
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A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion. / Dulz, Simon; Green, Sylvia; Mehlan, Juliane; Schüttauf, Frank; Keserü, Matthias.
In: ACTA OPHTHALMOL, Vol. 97, No. 6, 09.2019, p. e933-e936.Research output: SCORING: Contribution to journal › SCORING: Journal article › Research › peer-review
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TY - JOUR
T1 - A comparison of the lateral tarsal strip with everting sutures and the Quickert procedure for involutional entropion
AU - Dulz, Simon
AU - Green, Sylvia
AU - Mehlan, Juliane
AU - Schüttauf, Frank
AU - Keserü, Matthias
N1 - © 2019 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.
PY - 2019/9
Y1 - 2019/9
N2 - BACKGROUND/AIMS: To provide evidence of statistically significant difference in the surgical outcome of the lateral tarsal strip with everting sutures (LTS + ES) versus the Quickert procedure (QP) in the treatment of involutional entropion.METHODS: In a prospective randomized comparative trial, 66 eyelids of 52 patients with primary involutional lower eyelid entropion were recruited. Thirty-six eyelids were randomized to QP, and 30 eyelids were randomized to LTS + ES. Surgery was performed by a single surgeon. Postoperative follow-up was scheduled after 2 weeks, 8 and 14 months. Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on forced eyelid closure at or before the 14-month follow-up visit.RESULTS: A total of 66 eyelids of 52 patients were enrolled in the study. Three patients did not complete follow-up (1 did not attend the 8 months follow-up visit; 2 did not attend 14 months follow-up visit). Of the 63 patients, a single eyelid [success probability 0.97; confidence interval (CI) 0.92-1] in the QP group and two treated eyelids [success probability of 0.93; CI: 0.85-1] in the LTS + ES group had a recurrence of a lower eyelid entropion after 14 months. There was no statistically significant difference in surgical failure between the LTS + ES versus QP (Log-rank test: p = 0.46).CONCLUSION: These data provide strong evidence that success rates at 14 months are similar in patients treated with either techniques (LTS + ES versus QP).
AB - BACKGROUND/AIMS: To provide evidence of statistically significant difference in the surgical outcome of the lateral tarsal strip with everting sutures (LTS + ES) versus the Quickert procedure (QP) in the treatment of involutional entropion.METHODS: In a prospective randomized comparative trial, 66 eyelids of 52 patients with primary involutional lower eyelid entropion were recruited. Thirty-six eyelids were randomized to QP, and 30 eyelids were randomized to LTS + ES. Surgery was performed by a single surgeon. Postoperative follow-up was scheduled after 2 weeks, 8 and 14 months. Successful surgery was defined as a normal eyelid position at rest and inability to induce entropion on forced eyelid closure at or before the 14-month follow-up visit.RESULTS: A total of 66 eyelids of 52 patients were enrolled in the study. Three patients did not complete follow-up (1 did not attend the 8 months follow-up visit; 2 did not attend 14 months follow-up visit). Of the 63 patients, a single eyelid [success probability 0.97; confidence interval (CI) 0.92-1] in the QP group and two treated eyelids [success probability of 0.93; CI: 0.85-1] in the LTS + ES group had a recurrence of a lower eyelid entropion after 14 months. There was no statistically significant difference in surgical failure between the LTS + ES versus QP (Log-rank test: p = 0.46).CONCLUSION: These data provide strong evidence that success rates at 14 months are similar in patients treated with either techniques (LTS + ES versus QP).
KW - Journal Article
U2 - 10.1111/aos.14093
DO - 10.1111/aos.14093
M3 - SCORING: Journal article
C2 - 30916886
VL - 97
SP - e933-e936
JO - ACTA OPHTHALMOL
JF - ACTA OPHTHALMOL
SN - 1755-375X
IS - 6
ER -