Journal of the Korean Ophthalmological Society 2002;43(8):1355-1361.
Published online August 1, 2002.
The Capsulopalpebral Fascia Repair for Senile Entropion.
Sun Hee Baek, Suk Woo Yang, Woong Chul Choi
1Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.cwcmc@hotmail.com
2Department of Ophthalmology, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.
노인성 안검내반에서 견인근 교정
백선희 ( Sun Hee Baek ) , 양석우 ( Suk Woo Yang ) , 최웅철 ( Woong Chul Choi )
Abstract
PURPOSE
We report that simple capsulopalpebral fascia (CPF) repairs were effective when patients diagnosed as senile entropion had the disinsertion lines of the CPF on everted lower conjunctivas (demarcation line). METHODS: Twenty patients (27 eyes) who had demarcation lines and showed no severe horizontal lid laxity were operated for senile entropion during the period March 1, 1996 to July 30, 2001. After subciliary skin incision, the disinserted CPF was identified and repaired by reattaching the superior edge of the CPF to the inferior edge of the lower tarsus. RESULTS: This procedure was performed on 27 eyes of 20 patients (women 11, men 9, average age 68.6 years). We followed up the patients from 3 to 30 months after surgeries (average 7.8 months). Two patients showed complications, one was conjunctival prolapse and the other was recurrence of entropion. CONCLUSIONS: Simple capsulopalpebral fascia (CPF) repairs gave good results in patients with senile entropion who had disinsertion lines of the CPF on everted lower conjunctiva (demarcation line) without severe horizontal lid laxity. Moreover this procedure had shorter operation and recovery times compared with other combined surgeries.
Key Words: Capsulopalpebral fascia;Demarcation line;Senile entropion


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