Involutional entropion surgery: A modified technique

Purpose: A study to evaluate the effectiveness of a modified procedure to c orrect involutional entropion, Methods: Seventeen cases of involutional ent ropion underwent surgery and had a postoperative follow-up of 18 months. Th e authors describe a technique of vertically shortening the anterior lamell a (skin and orbicularis muscle), using a blepharoplasty incision and reflec tion of a skin muscle flap, Results: In 16 of 17 eyelids affected by involu tional entropion, this operative procedure showed good functional outcome ( good correction of the relation between lower eyelid edge and eyeball) and aesthetic outcome (no hypertrophic scar, dyschromia or un natural folding o f the skin). Conclusions: A correct approach to entropion surgery needs an accurate preoperative evaluation of the individual physiopathogenic factors . This procedure gives lasting functional and pleasing cosmetic results whe n preseptal orbicularis muscle override has been identified as the cause of senile entropion, Copyright (C) 2001 S.Karger AG, Basel.