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Transconjunctival entropion repair

S C Dresner¹, J W Karesh

¹Department of Ophthalmology, Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, Calif.

Archives of Ophthalmology (Chicago, Ill. : 1960)

|August 1, 1993

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A novel transconjunctival technique effectively corrects involutional lower-eyelid entropion by addressing eyelid laxity, muscle overriding, and retractor attenuation. This minimally invasive approach offers a stable, cosmetic solution for entropion repair.

Area of Science:

Ophthalmology
Oculoplastic Surgery

Background:

Involutional lower-eyelid entropion results from eyelid laxity, orbicularis oculi muscle overriding, and lower-eyelid retractor attenuation.
Addressing these three factors is crucial for effective entropion correction.

Purpose of the Study:

To introduce and evaluate a new transconjunctival surgical technique for correcting involutional lower-eyelid entropion.
To assess the efficacy and cosmetic outcomes of this approach.

Main Methods:

A transconjunctival approach was utilized to advance or fortify the lower-eyelid retractors.
The orbicularis oculi muscle was also addressed via the transconjunctival route.
The technique was combined with lateral canthal resuspension and, in some cases, transconjunctival blepharoplasty.

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Main Results:

The procedure was successfully performed on 23 eyelids in 18 patients.
Follow-up ranged from 9 to 18 months.
No postoperative recurrences, overcorrections, or lower-eyelid retraction were observed.

Conclusions:

This transconjunctival technique provides a stable and definitive repair for involutional lower-eyelid entropion.
The approach addresses all correctable causes of entropion and yields excellent cosmetic results.