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March 1971

Suture Repair of Entropion

Author Affiliations

San Francisco
From the Ophthalmic Plastic Surgery Service, Department of Ophthalmology, University of California San Francisco, San Francisco.

Arch Ophthalmol. 1971;85(3):304-305. doi:10.1001/archopht.1971.00990050306012

SUTURES have been used for the correction of lower eyelid entropion since the time of Hippocrates1 who placed a suture through a horizontal fold of skin just beneath the lid margin. Guillard, Graefe and Arlt1 also used sutures in the anterior lid layers (skin and orbicularis muscle) to correct the inverted lid margin. Snellen and Stellen1 proposed techniques for the placement of two or three double armed sutures through the entire lid thickness. Snellen passed the suture through conjunctiva, lower lid retractors, and orbicularis muscle at the level of the lower fornix. The suture was then passed superiorly and brought out through the skin 2 mm inferior to the cilia. Stellen modified the technique by passing the needle superiorly between the tarsus and orbicularis muscle. Both tied their sutures over bolsters.

This report describes a technique for placement of sutures through the full thickness of the lower lid.

Beard CH: Ophthalmic Surgery . Philadelphia, Blakiston Co, 1914.
Wies FA:  Spastic entropion . Trans Amer Acad Ophthal Otolaryng 59:503-506, 1955.
Hill JC, Feldman F:  Tissue barrier modifications of a Wheeler II operation for entropion . Arch Ophthal 78:621-623, 1967.Article
Jones LT:  An anatomical approach to problems of the eyelids and lacrimal apparatus . Arch Ophthal 66:111-124, 1961.Article