This is a retrospective comparative study. The authors analyse results of 281 eyelids with involutional entropion operated by two surgeons, 89 treated with buried resorbable imbricating sutures and 192 with non-buried non-resorbable sutures. The horizontal lid laxity was corrected by excising a full thickness block in the lateral canthal angle rather than with a lateral tarsal strip. The article describes the surgical technique in detail with a diagrammatic illustration of steps. There was no statistically significant difference between the two groups on recurrence rate between the two groups at 18 months follow-up. However, the average time to recurrence for 14 months in non-resorbable group versus 20 months in resorbable group which was statistically significant. The authors conclude that buried resorbable sutures are equally effective as non-buried non-resorbable sutures.

Surgical correction of involutional lower lid entropion with lateral canthal eyelid block excision and imbrication of the capsulopalpebral ligament using non-buried non-resorbable imbricating sutures versus buried resorbable imbricating sutures.
Nathalie NJ, Lai AF, Paridaens D, van den Bosch WA.
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Rina Bhatt

Wolverhampton Eye Infirmary, UK.

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