Correction of Senile Entropion by Full Thickness Lid Excision.

Kang, Shin Un; Lee, Sang Yeul; Kim, Hong Bok

Original Article

Journal of the Korean Ophthalmological Society 1990;31(1):9-12.
Published online January 1, 1990.

Correction of Senile Entropion by Full Thickness Lid Excision.

Shin Un Kang, Sang Yeul Lee, Hong Bok Kim

Department of Ophthalmology, Yonsei University College of Medicine, Seoul, Korea.

전층 안검절제술에 의한 노인성 안검내반증의 교정

강신언(Shin Un Kang),이상렬(Sang Yeul Lee),김홍복(Hong Bok Kim)

Abstract

Senile entropion remains something of an enigma, with no general agreement as to etiology or best surgical treatment. Little basic research on the problem of senile entropion had been carried out until Dalgleish and Smith inserted metal markers into the various anatomical layers of the lower lid and took lateral rediographs. As the results of their investigations, they showed that surgical intervention should be directed towards the correction of two important features in the etiology of senile entropion-rotation of the tarsal plate and loss of attach ment of skin and orbicularis to the deeper tissues. O'Donoghue and Roden reported that they could be corrected by excising a full-thickness triangle, apex up, from the central part of the lower lid. Three cases of senile entropion and one vase of spastic entropion were treated with the same procedure as O'Donoghue and Roden did except the excision of the redundant skin along the lowere lid margin. The results of our procedure was simple and successful.

Key Words: excision of full-thickness triangle;senile entropion;spastic entropion