Abstract:

Objective To observe the efficacy of the modified Wies procedure for involutional lower eyelid entropion. Design Retrospective case series. Participants Twenty-seven patients (31 eyes) with involutional lower eyelid entropion in Beijing Tongren Eye Center. Methods All patients were underwent the modified Wies procedure (transverse blepharmotomy and lower eyelid retractor advancement to tarsal plate and skin) by the same surgeon. While follow-up was （14.6±3.5） months (12-17 months), outpatient reviews and telephone interviews were conducted to assess operative effect and patients satisfaction with the surgery. Main Outcome Measures Morphology of eyelid, position of eyelid, with or without epiphora. Results The only patient with both eyes previous surgery was found recurrence at 14 months. The other 26 patients had no overcorrection, recurrence or undercorrection during the follow-up period, and the palpebral margin was in good shape without complaints of discomfort. Conclusion The modified Wies procedure is simple to master, performing with minimal operative time and reasonably successful in managing entropion of lower eyelid. Prioritize should be given to this procedure for involutional lower eyelid entropion.

Key words: entropion/surgery, lower eyelid retractor