Modified Wheeler orbicularis overlap procedure for senile entropion

Senile entropion is a condition involving the lower lid due to aging. Surgical correction has been directed to either increasing the vertical or horizontal tension on the tarsus. While all are good, each has its shortcomings with resultant recurrences. The procedure we are presenting is a combination of features which has given us the least recurrence rate. These include horizontal shortening of skin and orbicularis muscle and positioning of orbicularis straps so as to prevent their riding up on the tarsus. Figures illustrating the procedure in detail as well as pre and postoperative photos are shown.