Correction of Senile Entropion by Full Thickness Lid Excision.
- Author:
Shin Un KANG
1
;
Sang Yeul LEE
;
Hong Bok KIM
Author Information
1. Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
excision of full-thickness triangle;
senile entropion;
spastic entropion
- MeSH:
Entropion*;
Muscle Spasticity;
Skin
- From:Journal of the Korean Ophthalmological Society
1990;31(1):9-12
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Senile entropion remains something of an enigma, with no general agreement as to etiology or best surgical treatment. Little basic research on the problem of senile entropion had been carried out until Dalgleish and Smith inserted metal markers into the various anatomical layers of the lower lid and took lateral rediographs. As the results of their investigations, they showed that surgical intervention should be directed towards the correction of two important features in the etiology of senile entropion-rotation of the tarsal plate and loss of attach ment of skin and orbicularis to the deeper tissues. O'Donoghue and Roden reported that they could be corrected by excising a full-thickness triangle, apex up, from the central part of the lower lid. Three cases of senile entropion and one vase of spastic entropion were treated with the same procedure as O'Donoghue and Roden did except the excision of the redundant skin along the lowere lid margin. The results of our procedure was simple and successful.
