Lower eyelid involutional entropion following cataract surgery.
Journal
Eye (London, England)
ISSN: 1476-5454
Titre abrégé: Eye (Lond)
Pays: England
ID NLM: 8703986
Informations de publication
Date de publication:
01 2022
01 2022
Historique:
received:
09
12
2020
accepted:
09
02
2021
revised:
19
01
2021
pubmed:
6
3
2021
medline:
16
4
2022
entrez:
5
3
2021
Statut:
ppublish
Résumé
To determine whether cataract surgery is associated with an increased risk of subsequent lower eyelid entropion and evaluate potential associated factors. This retrospective cohort study included consecutive patients undergoing first eye cataract surgery over a 10-year period at a single institution (n = 14,574). The fellow phakic eye served as control. Patient records were evaluated up until either the time of second eye cataract surgery or any other intraocular or adnexal surgery. The primary outcome was the rate of entropion repair in both the pseudophakic (exposed) group and the phakic control group. Groups were compared using relative risk and Kaplan-Meier analysis. Multivariate logistic regression was used to compare pre-specified characteristics of those patients that underwent entropion repair in their pseudophakic eye with those that did not. A fourfold higher relative risk of undergoing entropion repair was observed in eyes that had undergone cataract surgery compared with the fellow unoperated eye (95% confidence interval 1.6-9.8; P < 0.001) with an increased risk at all timepoints between 1 and 12 years according to Kaplan-Meier analysis (P = 0.001). Median time to entropion repair after cataract surgery was 58 months (range 3-124). Documented intraoperative patient factors such as patient or eye movement, eyelid squeezing, pain or anxiety were an independent risk factor for subsequent entropion (P < 0.0001). Cataract surgery is associated with an increased risk of subsequent lower eyelid entropion. Surgeons should be aware of this risk in the pre- and post-operative assessment of patients undergoing cataract surgery.
Identifiants
pubmed: 33664509
doi: 10.1038/s41433-021-01466-5
pii: 10.1038/s41433-021-01466-5
pmc: PMC8727584
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
175-181Informations de copyright
© 2021. The Author(s), under exclusive licence to The Royal College of Ophthalmologists.
Références
Damasceno RW, Osaki MH, Dantas PEC, Belfort RJ. Involutional entropion and ectropion of the lower eyelid: prevalence and associated risk factors in the elderly population. Ophthal Plast Reconstr Surg. 2011;27:317–20.
doi: 10.1097/IOP.0b013e3182115229
Chu Y-C, Yang J-W, Tsai Y-J, Wu S-Y, Liao Y-L, Chu H-Y. Correction of involutional entropion with retractor redirection. Orbit Amst Neth. 2016;35:207–11.
Marcet MM, Phelps PO, Lai JSM. Involutional entropion: risk factors and surgical remedies. Curr Opin Ophthalmol. 2015;26:416–21.
doi: 10.1097/ICU.0000000000000186
Beigi B, Kashkouli MB, Shaw A, Murthy R. Fornix fat prolapse as a sign for involutional entropion. Ophthalmology. 2008;115:1608–12.
doi: 10.1016/j.ophtha.2008.02.014
Miletić D, Kuzmanović Elabjer B, Bušić M, Bišćan Tvrdi A, Petrović Z, Bosnar D, et al. Histopathological changes in involutional lower eyelid entropion: the tarsus is thickened! Can J Ophthalmol. 2016;51:482–6.
doi: 10.1016/j.jcjo.2016.04.029
Wang Y, Lou L, Liu Z, Ye J. Incidence and risk of ptosis following ocular surgery: a systematic review and meta-analysis. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol. 2019;257:397–404.
doi: 10.1007/s00417-018-4130-6
Hurwitz JJ, Smith D, Corin SM. Association of entropion with cataract surgery. Ophthal Plast Reconstr Surg. 1990;6:25–7.
doi: 10.1097/00002341-199003000-00004
Hosal BM, Tekeli O, Gürsel E. Eyelid malpositions after cataract surgery. Eur J Ophthalmol. 1998;8:12–5.
doi: 10.1177/112067219800800104
Health Research Authority (HRA). Defining Research. Available from: http://www.hra-decisiontools.org.uk/research/docs/DefiningResearchTable_Oct2017-1.pdf
Health Research Authority (HRA). Decision Tool—‘Is my study research?’. Available from: http://www.hra-decisiontools.org.uk/research/question1.html
R Core Team. R: A Language and Environment for Statistical Computing. Vienna, Austria: R Foundation for Statistical Computing; 2019.
Kassambara A, Kosinski M, Biecek P, Fabian S survminer: Drawing Survival Curves using ‘ggplot2’ [Internet]. 2020. Available from: https://CRAN.R-project.org/package=survminer
Therneau T, Lumley T, Atkinson E, Crowson C survival: Survival Analysis [Internet]. 2020. Available from: https://CRAN.R-project.org/package=survival
Mehat MS, Sood V, Madge S. Blepharoptosis following anterior segment surgery: a new theory for an old problem. Orbit Amst Neth. 2012;31:274–8.
Crosby NJ, Shepherd D, Murray A. Mechanical testing of lid speculae and relationship to postoperative ptosis. Eye. 2013;27:1098–101.
doi: 10.1038/eye.2013.133
Linberg JV, McDonald MB, Safir A, Googe JM.Ptosis following radial keratotomy. Performed using a rigid eyelid speculum. Ophthalmol. 1986;93:1509–12.
doi: 10.1016/S0161-6420(86)33529-2
Singh SK, Sekhar GC, Gupta S. Etiology of ptosis after cataract surgery. J Cataract Refract Surg. 1997;23:1409–13.
doi: 10.1016/S0886-3350(97)80124-1
Park AJ, Eliassi-Rad B, Desai MA. Ptosis after glaucoma surgery. Clin Ophthalmol. 2017;11:1483–9.
doi: 10.2147/OPTH.S134562
Naruo-Tsuchisaka A, Maruyama K, Arimoto G, Goto H. Incidence of postoperative ptosis following trabeculectomy with mitomycin C. J Glaucoma 2015;24:417–20.
doi: 10.1097/IJG.0000000000000174
Patel JI, Blount M, Jones C. Surgical blepharoptosis-the bridle suture factor? Eye Lond Engl. 2002;16:535–7.
Deady JP, Price NJ, Sutton GA. Ptosis following cataract and trabeculectomy surgery. Br J Ophthalmol. 1989;73:283–5.
doi: 10.1136/bjo.73.4.283
Ropo A, Ruusuvaara P, Nikki P. Ptosis following periocular or general anaesthesia in cataract surgery. Acta Ophthalmol. 1992;70:262–5.
doi: 10.1111/j.1755-3768.1992.tb04134.x