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February 1967

Repair of Cicatricial Entropion

Author Affiliations

From Massachusetts Eye and Ear Infirmary, Boston.

Arch Ophthalmol. 1967;77(2):232-233. doi:10.1001/archopht.1967.00980020234016

THE PURPOSE of this communication is to describe a simple and effective procedure for the correction of cicatricial entropion. So far as could be determined this technique has not hitherto been described and the author learned it from V. H. Kazanjian, MD. The technique consists of making an incision along the middle of the lid margin and splitting the lid into a skin-muscle layer and tarsoconjunctival layer. The incision is carried vertically into the lid to a depth of 8 to 10 mm. The edge of the skin-muscle layer is then dropped down 3 mm below the level of the tarsoconjunctival edge and sutured to the tarsus at that level by means of interrupted 4 0 black silk mattress sutures. The lids are sutured together and antibiotic ointment is applied with a light pressure dressing. The lid suture can be removed in three days and the remaining sutures, in five

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