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Involutional entropion surgery: a modified technique.

A Marabotti1, A Bedei, G Lanza

  • 1Ophthalmic Division, H.M.O. Barbantini, Lucca, Italy. a.marabotti@tiscalinet.it

Ophthalmologica. Journal International D'Ophtalmologie. International Journal of Ophthalmology. Zeitschrift Fur Augenheilkunde
|May 8, 2001
PubMed
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This study evaluated a modified surgical technique for involutional entropion. The procedure effectively corrected eyelid position and provided excellent cosmetic results in most patients.

Area of Science:

  • Ophthalmology
  • Surgical Techniques
  • Eyelid Surgery

Background:

  • Involutional entropion is a common condition affecting the elderly.
  • Surgical correction is necessary to prevent complications like corneal abrasion.
  • Existing techniques may have limitations in functional and aesthetic outcomes.

Purpose of the Study:

  • To assess the efficacy of a modified surgical procedure for correcting involutional entropion.
  • To evaluate both functional and aesthetic outcomes of the modified technique.

Main Methods:

  • A cohort of 17 patients with involutional entropion underwent surgery.
  • The modified technique involved vertical shortening of the anterior lamella via a blepharoplasty incision.
  • Postoperative follow-up was conducted for 18 months.

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Main Results:

  • The modified procedure achieved good functional correction in 16 out of 17 eyelids.
  • Excellent aesthetic outcomes were observed, with no hypertrophic scarring, dyschromia, or unnatural skin folding.
  • The technique successfully addressed the relationship between the lower eyelid edge and the eyeball.

Conclusions:

  • Accurate preoperative assessment of individual factors is crucial for successful entropion surgery.
  • This modified technique offers lasting functional and cosmetic benefits.
  • It is particularly effective when preseptal orbicularis muscle override is the primary cause of senile entropion.