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Everting or Quickert sutures

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Quickert (everting) sutures are very useful for the right patient. I think the ideal patient is one with spastic entropion -- entropion that has been made worse with ocular irritation. I think it is also useful for patients who are debilitated and have involutional entropion. Some colleagues prefer it with a lateral tarsal strip for involutional entropion, however my preferred treatment for involutional entropion is a lateral tarsal strip with a transcutaneous retractor reinsertion. The video for this treatment method is at: For a written transcript of this video, please see below: This is Richard Allen at the University of Iowa. This video demonstrates the use of everting or Quickert sutures to treat spastic entropion. In this case, a double armed 5-0 Vicryl suture on an S-24 needle is used. The suture enters the inferior fornix and then is directed through the eyelid to exit externally at the lash follicles

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