Abstract:

Objective To evaluate the efficacy of the combined entropion repair for lower eyelid involutional entropion: lateral canthoplasty and shortening of the orbicularis oculi. Design Retrospective case series. Participants 79 patients (118 eyes) with lower eyelid involutional entropion underwent the combined procedure in Beijing Tongren Eye Center. Method Surgical technique included lateral canthoplasty and shortening of the orbicularis oculi. Effect of surgery (morphology of eyelid, position of eyelid, with or without epiphora) and recurrence were evaluated during the follow-up time of 12 months. Main Outcome Measures Effect of the surgery and recurrence. Results 117 eyes were cured and one case relapsed during 12 months follow-up. Three cases were over-corrected during early stage postoperatively. Morphology and position of eyelids of two cases recovered after 3 months, and the remaining one case recovered after 6 months. Conclusion The combined surgery which address several pathogenic agents is effective for the correction of involutional entropion during 12 months follow-up.

Key words: involutional entropion/surgery, lateral canthoplasty, orbicularis oculi shortening