Everting or Quickert Sutures
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. This effectively tightens the lower lid retractors. The other arm of the suture is directed in a similar fashion. In order to achieve maximal eversion, the suture should enter relatively deep in the fornix and exit as close to the lash follicles as possible. Approximately three separate double armed sutures are placed and then tied. There should be eversion of the lid margin at the conclusion of the case. The sutures can be left to dissolve on their own or removed at approximately 7 to 10 days. Another suture that is commonly used is a double armed 5-0 chromic suture that is on a longer needle.