Correction of Involutional Entropion by the Amount of Lower Eyelid Laxity

ABSTRACT

Authors have analysed a series of involutional entropion placed into two categories, those with and without increased horizontal lid laxity following preoperative assessment. Of the 30 entropion operations on 25 eyes, 14 operations(on 13 eyes) were for the group without horizontal lid laxity and 16 operations(on 12 wyws) with horizontal lid laxity. In patients with tight eyelids, we performed lower retractor tucking and excision of preseptal orbicularis muscle and in patients with increased horizontal lid laxity, we added horizontal eyelid shortening procedure to the above procedures. The success rate was 92.8%(13 eyes/14eyes) in group without eyelid laxity, the total surgical success rate being 96.6%(29 eyes/30 eyes).