Everting Sutures for Entropion Repair: Recurrence Rate and Quality of Life Metrics.

IF 1.2 4区 医学 Q3 OPHTHALMOLOGY
Mohamad Baba, Ayodeji Ajanaku, Mark Halliwell
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引用次数: 0

Abstract

Purpose: The study aimed to assess the efficacy and recurrence rate of everting sutures as a sole procedure in entropion repair, its impact on quality of life during the coronavirus disease pandemic, and to determine if this procedure remains an option to offer after the pandemic.

Design: Retrospective clinical cohort study.

Methods: Retrospective study of 58 patients who had everting sutures for entropion repair over a 1-year period. Patients who had everting sutures combined with another procedure were excluded from the study. The study evaluated the effectiveness of the procedure by examining eyelid positioning during follow-up, complication rate, and the 1-year recurrence rate. Patients were also contacted to describe their symptoms before and after surgery and to complete The European Quality of Life questionnaire.

Results: The mean age was 79 years and 68.9% were male. The immediate success rate was 95.3% with a complication rate of 1.5%. The 1-year recurrence rate was 23.4%. After surgical intervention, 95.1% of patients experienced symptom relief. An improvement in quality of life was reported in 76.2%, which was predominantly attributed to a reduction in eye pain or discomfort (p < 0.05).

Conclusions: Everting sutures are a quick and safe procedure that can be performed by any general ophthalmologist. This procedure is effective and improves the quality of life; however, it is associated with a higher recurrence rate compared with other entropion repair surgeries. Nonetheless, it remains an attractive option for older patients who want to avoid long and invasive procedures.

内翻修补术的外翻缝合线:复发率和生活质量指标。
目的:本研究旨在评估在冠状病毒大流行期间,作为唯一手术方法的内翻修复的疗效和复发率,以及其对生活质量的影响,并确定该手术在大流行后是否仍然是一种选择。设计:回顾性临床队列研究。方法:回顾性分析58例1年内内翻修补术患者的资料。同时进行缝合和其他手术的患者被排除在研究之外。该研究通过观察随访期间眼睑定位、并发症发生率和1年复发率来评估手术的有效性。研究人员还联系了患者,要求他们描述手术前后的症状,并填写欧洲生活质量问卷。结果:平均年龄79岁,男性占68.9%。术后即刻成功率95.3%,并发症发生率1.5%。1年复发率为23.4%。手术干预后,95.1%的患者症状缓解。76.2%的患者生活质量得到改善,主要是由于眼睛疼痛或不适的减轻(p < 0.05)。结论:平缝术是一种快速、安全的手术,任何眼科医生都可以进行。这个程序是有效的,提高了生活质量;然而,与其他内翻修复手术相比,它具有较高的复发率。尽管如此,对于想要避免长时间侵入性手术的老年患者来说,它仍然是一个有吸引力的选择。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
2.50
自引率
10.00%
发文量
322
审稿时长
3-8 weeks
期刊介绍: Ophthalmic Plastic and Reconstructive Surgery features original articles and reviews on topics such as ptosis, eyelid reconstruction, orbital diagnosis and surgery, lacrimal problems, and eyelid malposition. Update reports on diagnostic techniques, surgical equipment and instrumentation, and medical therapies are included, as well as detailed analyses of recent research findings and their clinical applications.
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