Management of senile entropion by retractor tightening and horizontal shortening

To determine the efficacy of two operations aimed at curing the principal causes of senile entropion. The lower lid retractors were tightened transcutaneously in 8 lids, while an additional horizontal lid shortening was performed in another 13 lids. Surgery was uneventful in all cases. The patients were reexamined from 7- 15 month after surgery. In the group with only lower lid retractor tightening, recurrence was found in three cases, however, there was only one case of recurrence in group with combined procedure. Lower eyelid retractor tightening combined with simultaneous horizontal shortening of the lid is recommended to correct senile entropion with a lasting result