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August 1962

Severe Cicatricial Entropion Corrected by Lagleyze Operation and Mucosal Graft

Author Affiliations

Birmingham, Ala.

Arch Ophthalmol. 1962;68(2):172-175. doi:10.1001/archopht.1962.00960030176006

Moderately severe cicatricial entropion is best repaired by the Lagleyze procedure: the lid margin with a 3 mm. to 4 mm. tarsal strip is partly detached from the body of the lid, turned, and fixed anteriorly and upward by mattress sutures suspended from the levator, inserted from the conjunctival surface. In preparation for the operation 5 half-curved spring eye needles (Lagleyze) are strung at intervals of about 2 inches on a white cotton thread, size No. 8.

The operation is begun (Fig. 1, A)* by securing the margin with a suture and everting the lid on a spatula or lid everter. The conjunctiva and tarsus are incised 4-5 mm. from and parallel to the margin about 3 mm. lateral to the punctum and extended across the lid to within a few mm. of the lateral canthal angle. The fascia just anterior to the tarsus is not cut.

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