Related Experiment Videos
Lid retractors desinsertion in acquired ptosis and involutional lower lid entropion: surgical implications
I O Haefliger1, J M Piffaretti
1Oculoplastic Surgery Unit, University Eye Clinic Basel, Mittlere Strasse 91, PO Box, CH-4012 Basel.
Background:
An association exists between upper and/or lower lid retractors' desinsertion and acquired ptosis and/or involutional lower lid entropion.
Method:
By highlighting the similarities that exist in the anatomy of the upper and lower lid retractors a possible pathophysiological mechanism leading to acquired ptosis and involutional lower lid entropion is suggested. As a logical consequence, in case of desinsertion, it is proposed to reattach the lid retractors to the tarsus.
Results:
With this simple "physiological" surgical approach it is possible to treat with success a great majority of acquired ptosis and/or involutional lower lid entropion.
Conclusion:
Repairing upper and/or lower lid retractors' desinsertion can cure acquired ptosis and/or involutional lower lid entropion.