 |
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2025, vol. 31, issue3
Subject Area: Medicine
-
DOI: 10.5272/jimab.2025313.6442
Published online: 09 September 2025
Original article
J of IMAB. 2025 Jul-Sep;31(3):6442-6446
WIES VS. JONES PROCEDURE FOR ENTROPION: YOUNG OPHTHALMOLOGISTS LEARNING CURVE
Georgi Balchev
, Snezhana Murgova,
Ophthalmology department, Medical University Pleven, Bulgaria.
ABSTRACT:
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.
Keywords: entropion, oculoplastic surgery, Weis, Jones,
- Download FULL TEXT /PDF 1223 KB/
Please cite this article as: Balchev G, Murgova S. Wies vs. Jones procedure for entropion: young ophthalmologists learning curve. J of IMAB. 2025 Jul-Sep;31(3):6442-6446. [Crossref - 10.5272/jimab.2025313.6442]
Correspondence to: Assoc. Prof. Georgi Balchev, MD, PhD, Medical University Pleven; 91, Vladimir Vazov Str., Pleven, Bulgaria; E-mail: georgi@balchev.org
REFERENCES:
1. Bergstrom R, Czyz CN. Entropion Eyelid Reconstruction. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan. 2023 May 26. [PubMed ]
2. Wies FA. Surgical treatment of entropion. J Int Coll Surg. 1954 Jun;21(6 1):758-60. [PubMed]
3. Jones LT. The anatomy of the lower eyelid and its relation to the cause and cure of entropion. Am J Ophthalmol. 1960 Jan;49:29-36. [PubMed]
4. Nakauchi K, Mimura O. Combination of a modified Hotz procedure with the Jones procedure decreases the recurrence of involutional entropion. Clin Ophthalmol. 2012;6:1819-22. [PubMed]
5. Qurban Q, Kamil Z. Treatment of reatment of senile entropion: A Comparison of standard and modified surgical technique. J Ayub Med Coll Abbottabad. 2022; 34(3 Suppl 1):678–81. [Crossref]
6. Lee S, Lew H. A 2-step Procedure for Entropion Treatment: Eyelid Splitting and Full-thickness Everting Sutures. Plast Reconstr Surg Glob Open. 2020 Dec 9;8(12):e3176. [PubMed]
7. Bleyen I, Dolman PJ. The Wies procedure for management of trichiasis or cicatricial entropion of either upper or lower eyelids. Br J Ophthalmol. 2009 Dec;93(12):1612-5. [PubMed]
8. Serbest Ceylanoglu K, Malkoc Sen E, Corak Eroglu F, Yenigun S. Comparison of the two techniques for involutional lower eyelid entropion: A retrospective study. J Craniomaxillofac Surg. 2021 Nov;49(11):1005-1009. [PubMed]
9. Boboridis K, Bunce C, Rose GE. A comparative study of two procedures for repair of involutional lower lid entropion. Ophthalmology. 2000 May;107(5):959-61. [PubMed]
10. Kamel El-Sobky HM, Mohammed Allam MM, Mandour SS. Wies procedure versus Jones procedure in the surgical correction of acquired lower eyelid involutional entropion. Menoufia Med J. 2017; 30(2):art.29. [Crossref]
Received: 13 June 2025
Published online: 09 Septtember 2025