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August 1993

Transconjunctival Entropion Repair

Author Affiliations

From the Department of Ophthalmology, Division of Ophthalmic Plastic and Reconstructive Surgery, The Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, Calif (Dr Dresner); the Krieger Eye Institute, Sinai Hospital of Baltimore (Md) (Dr Karesh); and The Wilmer Ophthalmological Institute, The Johns Hopkins University, Baltimore (Dr Karesh).

Arch Ophthalmol. 1993;111(8):1144-1148. doi:10.1001/archopht.1993.01090080140030

Involutional lower-eyelid entropion has three underlying correctable causes: eyelid laxity, overriding of the orbicularis oculi muscle, and attenuation of the lower-eyelid retractors. We describe a new technique for correcting this problem. A transconjunctival approach is used to advance or fortify the lower-eyelid retractors. The orbicularis oculi muscle can also be addressed through this approach. Combining this technique with lateral canthal resuspension anatomically corrects the entropion by addressing all three correctable causes. Transconjunctival blepharoplasty can also be performed in conjunction with this technique. Twenty-three eyelids of 18 patients successfully underwent this procedure. Six patients underwent simultaneous transconjunctival blepharoplasty. Follow-up ranged between 9 and 18 months. There were no postoperative recurrences, overcorrections, or lower-eyelid retraction. This approach yields a stable and definitive repair of involutional entropion with excellent postoperative cosmesis.

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