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October 1951


Author Affiliations

From the Eye Service, Goldwater Memorial Hospital.

AMA Arch Ophthalmol. 1951;46(4):424-431. doi:10.1001/archopht.1951.01700020435008

SENILE entropion is a common and troublesome clinical entity. It is as troublesome to the ophthalmologist as to the patient, because minor measures are usually ineffective and yet the clinical manifestations frequently do not seem severe enough to the patient to warrant major surgical intervention. Unfortunately, only operation can effect a permanent cure, though even this is not always certain.

Most textbooks define senile entropion as a form of spastic entropion of the lower lid, or, conversely, the commonest form of spastic entropion is described as occurring in the lower lid of older people. It is usually attributed to a spasm of the orbicularis brought on by ocular irritation, either inflammatory or traumatic.

Over the years, many procedures have been suggested for the correction of this condition. However, the armamentarium of remedies offered is larger than it is effective. The commonest of these methods may be summarized as follows:


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