WIES VS. JONES PROCEDURE FOR ENTROPION: YOUNG OPHTHALMOLOGISTS LEARNING CURVE

Entropion is a common eyelid disease with various etiologies that represents a change in the position of the eyelid, in which the edge is turned inward towards the eyeball. If left untreated, entropion can lead to several eye diseases. Aim: We compared two possible entropion reconstruction options; the Wies and Jons procedures, performed by young ophthalmologists under supervision. Methods: We selected 30 well-documented cases of patients operated > 3 years previously and followed for ≥ 2 years; 15 patients operated with the Wies technique and 15 with the Jones technique. The total operative time and learning curve of young ophthalmologists were observed and compared. Results: We compared the degree of entropion correction, cosmetic outcomes, and recurrence for up to two years. As a cosmetic result, our observations demonstrated the advantages of the Wies technique. In the Jones procedure, plication caused slight thickening of the lower eyelid below the operative incision, making the operative cicatrix more visible. There were two cases of relapse with Wies and none with Jones during the first year. Conclusion: Both techniques were applied for entropion correction. However, the Weis technique was suitable for manifest cases of entropion because it showed greater entropion reduction and better aesthetic postoperative results and was the method of choice for reoperation for the same disease. Young ophthalmologists adopted the Wies procedure much faster than did Jones.