Surgical Treatment of Sensile Entropion.

Ha, Jong Kuk; Kim, Yong Seob; Sohn, Mi A

Original Article

Journal of the Korean Ophthalmological Society 1998;39(4):631-636.
Published online April 1, 1998.

Surgical Treatment of Sensile Entropion.

Jong Kuk Ha, Yong Seob Kim, Mi A Sohn

Department of Ophthalmology, School of Medicine, Hallym University, Chun-Cheon, Korea.

퇴행성 안검내반의 수술적 치료

하종국(Jong Kuk Ha),김용섭(Yong Seob Kim),손미아(Mi A Sohn)

Abstract

Senile entropion is caused by following pathophysiologic changes ; disinsertion or weakness of lower lid retractor, upward migration and overriding of the preseptal orbicularis oculi muscle over pretarsal orbicularis muscle, horizontal lid laxity, and relative enophthalmos from absorption of orbital fat. There have been numerous procedures to correct senile entropion, but the difficulty of adequate and concurrent correction of all of the underlying defect result in high recurrence rate. Therefore, authors performed a combined procedure including reattachment of disinserted lower lid retractor or tucking of weakened lower tarsus, and the extirpation of overriding preseptal orbicularis oculi muscle. At the same time we performed the correction of the lower lid laxity using lateral tarsal strip procedure of full-thickness wedge resection. Authors performed this method in 21 cases of 17 patients and the cosmetic and functional result were satisfactory.

Key Words: Extirpation;Lower lid laxity;Senile entropion