Journal List > J Korean Ophthalmol Soc > v.55(7) > 1010010

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

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.

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Figure 1.
Etiology of entropion.
jkos-55-953f1.tif
Figure 2.
Etiology of ectropion.
jkos-55-953f2.tif
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)
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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