NUMEROUS procedures have been advocated for correction of upper lid entropion with tarsal fracturing or rotation of the distal segment of the lid or both. The technique advocated by Cuénod and modified by Nataf1 is excellent and has only appeared in the American literature of the society proceedings in the American Journal of Opthalmology.2
The redundant upper lid skin is excised. An estimate of the amount is made by grasping the tissue lightly with a Green's fixation forceps. The skin is marked with a scratch incision, using a razor blade knife. The oval is placed so that its lower border is 4 mm above and parallel to the lid margin. The lower arm of the incision is then carried down to the tarsus and the tarsus is bared by blunt dissection to the lash buds. A 3 to 4 mm wide wedge of partial thickness tarsus is excised
Tenzel RR. Repair of Entropion of Upper Lid. Arch Ophthalmol. 1967;77(5):675. doi:10.1001/archopht.1967.00980020677021
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