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Senile entropion: modified Schimek operation.

H G Scheie, A S Crandall, L A Karp

    Annals of Ophthalmology
    |January 1, 1978
    PubMed
    Summary
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    Senile entropion, an eyelid condition causing discomfort, often requires surgery. A modified surgical technique offers a simple, safe, and effective solution for this common ocular issue.

    Area of Science:

    • Ophthalmology
    • Surgical Procedures
    • Geriatric Medicine

    Background:

    • Senile entropion is a prevalent condition leading to significant ocular discomfort.
    • Medical interventions for senile entropion typically lack efficacy.
    • Surgical correction is generally necessary for definitive treatment.

    Purpose of the Study:

    • To present a modified surgical procedure for treating senile entropion.
    • To highlight the advantages of a specific surgical technique involving periosteal fixation.
    • To evaluate the safety, simplicity, and effectiveness of this surgical approach.

    Main Methods:

    • A surgical procedure, modified from the Schimek procedure, was employed.
    • Sutures were fixated to the periosteum of the lateral orbital rim.

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  • This technique provides robust support to the eyelid septum.

    • Main Results:

    • The described surgical operation is simple and safe to perform.
    • It offers firm support for the eyelid septum due to periosteal fixation.
    • The procedure can be repeated if entropion recurs without causing further lid damage.

    Conclusions:

    • The modified surgical technique provides an effective treatment for senile entropion.
    • Its simplicity, safety, and potential for revision make it a valuable option.
    • This method addresses the limitations of other surgical procedures for senile entropion.