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December 1948


Author Affiliations

From the Department of Ophthalmology, University of Oregon Medical School.

Arch Ophthalmol. 1948;40(6):665-667. doi:10.1001/archopht.1948.00900030680006

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IT IS the purpose of this report to review the mechanism of so-called spastic entropion of the lower lid and to call attention to a simple and effective operation for this condition. This procedure is directed toward correction of the abnormal anatomic relations which predispose to malfunction of the orbicularis oculi muscle.

Many operations have been described for the correction of spastic entropion, but none is directed at correction of what seems to be the fundamental cause, namely, an abnormal relation of the tarsal plate to the globe, with resultant improper function of the orbicularis oculi. In some previously described procedures attempts have been made to modify the action of the orbicularis on the tarsus or to buckle the tarsal plate outward either by establishing an everting cicatrix or removing a wedge from the outer surface of the plate parallel to the lid. Other procedures have been directed toward tacking

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