Efficacy of the Quickert procedure for involutional entropion: the first case series in Asia

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  • Miyamoto Tatsuro
    Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Eguchi Hiroshi
    Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Katome Takashi
    Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Nagasawa Toshihiko
    Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Mitamura Yoshinori
    Department of Ophthalmology, Institute of Health Biosciences, the University of Tokushima Graduate School
  • Crawford, FRANZCO, FRACS Geoffrey
    Centre for Ophthalmology and Visual Science, University of Western Australia and the Lions Eye Institute

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Purpose: To report the efficacy of the Quickert procedure in the first case series of involutional entropion in an elderly Asian population, and to introduce the technique to Asian ophthalmologists including general ophthalmologisits and ophthalmic trainees. Methods: We conducted a retrospective review of 13 consecutive patients underwent the Quickert procedure for involutional entropion by occasional eyelid surgeons at Tokushima University Hospital or Mino Tanaka Hospital from September 2003 to April 2010. Demographic data, including gender, age, history of previous eyelid surgery, systemic disease, recurrence of entropion, postoperative complications, and symptoms were analyzed. Results: There were 5 male (38.5%) and 8 female (61.5%) subjects with a mean age of 77.8 years. Three patients underwent previous surgery for entropion were included. Entropion was rectified in all patients by a single Quickert procedure, and no recurrence was observed for a maximum of 89 months after the surgery. Although notching of the eyelid margin and mild symblepharon were observed in one patient, no symptoms associated with these complications were reported. Conclusion: The Quickert procedure can be one of the surgical procedures of choice for involutional entropion and should be common surgical approach for occasional eyelid surgeons in Asia as well as in western countries. J. Med. Invest. 59: 136-142, February, 2012

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