Modified full thickness transverse tarsotomy with marginal rotation for entropion

ABSTRACT

Is to compare the effectiveness of old technique of Wies operation to the new modification on the degree of lid correction for entropion. Two groups each of 20 eyes of primary entropion from the out clinic of Tanta University Hospital, The first group had treated with the old technique described by Wies of full thickness Tarsotomy with marginal rotation. The second group had treated with the new modification of the transverse bile both groups were followed up for 6 month for the degree of correction. Both treated groups showed reasonable Marginal flap rotation with correction of the primary entropion, but the correction in the second group was substantial, also there was no recurrence in the second group compared to two cases of recurrence in the first group that favor the modified technique. The modified full thickness tarsotomy with marginal rotational flap has superior result to the old technique described by Wies in correction of upper lid entropion