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Abstract:
A new surgical procedure has been developed for the correction of senile entropion of the lower lid. The procedure consists of horizontal shortening of the lower lid by a pentagonal wedge resection combined with an infratarsal eyelid suture technique. Twenty eyelids of 13 patients with entropion have been operated on over the last 4 1/2 years with use of various modificatons of this procedure. The average follow-up period is two years three months, with the longest being 4 1/2 years and the shortest being three months. There has only been one temporary recurrence and no overcorrections. The technique is simple and effective when applied to chronic senile entropion unassociated with severe enophthalmos or any cicatricial component.
Insights
A novel surgical technique effectively corrects senile entropion using horizontal lid shortening and an infratarsal suture. This simple, safe procedure shows high success rates for chronic lower eyelid entropion without severe complications.
Area of Science:
- Ophthalmology
- Surgical Procedures
- Oculoplastics
Background:
- Senile entropion, an inward turning of the eyelid, affects many elderly individuals.
- Current surgical options may have limitations or complications.
- A need exists for simple, effective entropion correction techniques.
Purpose of the Study:
- To introduce and evaluate a new surgical procedure for senile lower eyelid entropion.
- To assess the efficacy and safety of this combined horizontal shortening and suture technique.
Main Methods:
- A pentagonal wedge resection was used for horizontal lower lid shortening.
- An infratarsal eyelid suture technique was employed concurrently.
- The procedure was performed on 20 eyelids in 13 patients over 4.5 years.
Main Results:
- One temporary recurrence was observed.
- No overcorrections were reported.
- The average follow-up was 2 years and 3 months.
Conclusions:
- The described surgical technique is simple and effective for chronic senile entropion.
- It is particularly suitable for cases without severe enophthalmos or cicatricial components.
- This method offers a promising solution for lower eyelid entropion correction.