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Two-paired Mini-incisional Entropion Surgery for Involutional Entropion

Purpose: The aim of this study is to describe “2-paired mini-incisional entropion surgery” for involutional entropion. Methods: This study was a retrospective single-surgeon case series. Patients who underwent different entropion surgeries were reviewed. Patients with involutional entropion were divided into 3 groups according to the type of surgery performed by a single surgeon: 2-paired mini-incisional entropion surgery; transconjunctival retractor reinsertion; or transcutaneous retractor reinsertion. Patients were followed up to 35 months after the surgery. Operation time, complications, and success were compared between groups. Results: Sixty-six lower eyelids of 60 patients were evaluated. The recurrence was 7.7% in the transcutaneous group, was 5.9% in the 2-paired mini-incisional entropion surgery group, and was 5.3% in the transconjunctival group. The total chance of success in 24-month period was 94.7% in the transconjunctival approach group, was 94.1% in the 2-paired mini-incisional entropion surgery group, and was 92.3% in the transcutaneous group. Conclusion: The 2-paired mini-incisional entropion surgery can be used for entropion repair alone or in combination with horizontal tightening surgeries. The authors describe a novel procedure for entropion surgery by comparing 3 surgical procedures performed by a single surgeon. Given the results of the 3 surgical techniques, this surgical procedure may be a useful option for entropion surgery.