THE BASIC cause of senile entropion of the lower lid is laxity of the lower portion of the tarsus and its supporting ligaments, the pretarsal skin, and the orbicularis. Spasm of the marginal orbicularis may be an additional inciting factor in postoperative or otherwise inflamed eyes, but its importance in surgical correction is relatively minor. The main abnormality to be corrected is the laxity of the lower portion of the inferior tarsus and its pretarsal structures. The methods of surgical correction for senile entropion are legion. Only one method will be discussed here in detail, namely the use of a buried horizontal suture to permanently tighten orbicularis over the lax lower border of the inferior tarsus.
Comparison of Various Suture Materials
—Use of a horizontal, buried, 4-0 black silk suture has been reported to be effective in the surgical treatment of senile entropion.1 However, this technique has
Schimek RA, Newsom SR. Horizontal Buried Collagen Tape for Senile Entropion. Arch Ophthalmol. 1967;77(5):672-674. doi:10.1001/archopht.1967.00980020674020