LAUSR

We read with great interest the recent article by Nakos et al. that showed the lateral tarsal strip (LTS) to have superior surgical success rates and reduction of symptoms than Quickert everting sutures (ES) in the repair of primary involutional lower eyelid entropion after one year [1]. We wish to complement their findings with those of our own Yorkshire Entropion Study (not previously published)—a randomised controlled trial with long-term (12-year) follow-up in which we attempt to compare two techniques for the surgical correction of involutional entropion. Nakos et al. discuss the two key causative factors in primary involutional lower eyelid entropion (horizontal lid laxity, mainly due to senile lateral canthal tendon elongation or dehiscence, and vertical laxity, due to detachment of the inferior retractors from the tarsus) and have designed a study that evaluates the comparative success rates of repairs that address either the horizontal (LTS) or vertical (ES) component. In the Yorkshire Entropion Study we have compared two different ‘‘combined’’ procedures that address both components simultaneously—LTS plus ES vs. LTS plus Jones retractor plication. The primary outcome measure was success (no need for further surgery) vs. failure (need for further surgery) at two-year follow-up, although data collection was possible Enhanced digital features To view enhanced digital features for this article go to https://doi.org/10.6084/ m9.figshare.11536995.