Causes and Treatments of Entropion and Ectropion in Adults

Sunah Kang; Tae Seong Park; Jung Hye Lee; Jae Woo Jang; Sung Joo Kim; Hye Sun Choi

doi:10.3341/jkos.2014.55.7.953

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Kang, Park, Lee, Jang, Kim, and Choi: Causes and Treatments of Entropion and Ectropion in Adults

Original Article

J Korean Ophthalmol Soc 2014;55(7):953-957.

Published online: 30 August 2014

DOI: https://doi.org/10.3341/jkos.2014.55.7.953

Causes and Treatments of Entropion and Ectropion in Adults

Sunah Kang, MD, Tae Seong Park, MD, Jung Hye Lee, MD, Jae Woo Jang, MD, Sung Joo Kim, MD, Hye Sun Choi, MD

Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea

Address reprint requests to Hye Sun Choi, MD, Department of Ophthalmology, Konyang University Kim's Eye Hospital, #136 Yeongsin-ro, Yeongdeungpo-gu, Seoul 150-034, Korea, Tel: 82-2-2639-7811, Fax: 82-2-2639-3976 E-mail: hs0903@kimeye.com

Received 13 December 2013 Revised 11 March 2014 Accepted 24 June 2014

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Purpose

To evaluate the causes and treatments of entropion and ectropion in adults.

Methods

A retrospective review was performed of 397 patients (490 eyes) with entropion and 109 patients (138 eyes) with ectropion who underwent corrective surgery at Kim's Eye Hospital from January 2009 to December 2012.

Results

The surgical correction of entropion was 3.5 times greater than that of ectropion. The causes of entropion were classified as senile (98.4%), cicatricial (1.4%) and spastic (0.2%). The causes of ectropion were classified as cicatricial (60.1%), paralytic (23.2%) and senile (16.7%).

Conclusions

The main causes of entropion and ectropion were senile and cicatricial, respectively. Specifically, senile entropion was more common than senile ectropion, which is considered to be related to the lid anatomy of Asian patients.

Keywords: Ectropion, Entropion

References

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Figure 1.

Etiology of entropion.

Figure 2.

Etiology of ectropion.

Table 1.

Types of surgical procedures performed for entropion

Entropion etiology (Number of eyes, %)	Surgical procedures performed (Number of eyes)
Involutional (389, 98.4)	Quickert suture (451)
	Hotz's operation (19)
	Marginal rotation (9)
	Retractor reinsertion operation (3)
Cicatricial (7, 1.4)	Quickert suture (5)
	Hotz's operation (1)
	Transverse tarsotomy with marginal rotation (1)
Spastic (1, 0.2)	Quickert suture (1)

Table 2.

Types of surgical procedures performed for ectropion

Ecropion etiology (Number of eyes, %)	Surgical procedures performed (Number of eyes)
Cicatricial (83, 60.1)	Lateral tarsal strip operation (72)
	Medial spindle operation (3)
	Lateral tarsal strip and medial spindle operation (4)
	Others^* (4)
Paralytic (32, 23.2)	Lateral tarsal strip operation (31)
Paralytic (32, 23.2)	Lateral tarsal strip and medial spindle operation (1)
Involutional (23, 16.7)	Lateral tarsal strip operation (20)
	Medial spindle operation (1)
	Others^* (2)

^* Lid retractor repair (2), scar revision (2), skin graft (1), wedge resection (1).

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