When multiple procedures are described for a specific condition, then none are considered entirely satisfactory. So it is with the treatment of entropion.
The procedure to be described here is based on the opinion that many cases of entropion occur when the tarsal plate becomes lax and loses its rigidity. When this happens the least amount of excess contraction of the orbicularis muscle will cause an infolding of the eyelid (Figure, A).
This procedure consists of excising a triangular wedge of conjunctiva-tarsal plate halfway along the length of the eyelid (Figure, B), while hemostasis is obtained with a large chalazion clamp.* The surgeon must be careful to avoid the lid margin. The base of the triangular wedge is 5 to 8 mm in length depending on the severity of the entropion and is located close to the lower margin of the tarsal plate. The sutures (three 4-0 plain catgut) are
KWITKO ML. A Simplified Treatment for Entropion. Arch Ophthalmol. 1964;72(1):64–65. doi:https://doi.org/10.1001/archopht.1964.00970020066015
Customize your JAMA Network experience by selecting one or more topics from the list below.
Create a personal account or sign in to: