Correction of entropion in the elderly: a muscle flap procedure

A method for surgical correction of entropion in the elderly has been described, utilizing a medially-based muscle flap of the orbicularis oculi muscle. The flap is sutured to the periosteum over the lateral orbital rim, thus holding the tarsus and lower lid in a correct position against the globe. The repair is supported further by excising the excess lower lid skin and anchoring the remaining skin to the lateral canthal ligament. The key to this procedure is the ease and accuracy with which the correction can be accomplished.