DOUBLE-OPPOSED Z PLASTY FOR UPPER EYELID ENTROPION CORRECTION

Recurrent cicatricial entropion of the upper eyelid creates a surgical problem. We present a 53-year-old patient with complicated postsurgic al fibrotic and scarred upper eyelid entropion. Double-opposed Z-plast y incisions were used at the anterior approach. The outer Z incision i ncluded the skin and the orbicularis oculi muscle underneath, whereas the inner Z incisions included the tarsal plate and conjunctiva, in a mirror-image fashion. Two goals were achieved, i.e., release of the ve rtical traction vector of the conjunctiva and balance of forces betwee n the anterior and posterior layers of the lid. Symptomatic and clinic al improvement was observed, and there was no recurrence 2 years after surgery.