Correction of involutional entropion by horizontal tangential wedge excision of the tarsus

Annals of Plastic Surgery
Malcolm A LesavoyMichael L Gimbel

Abstract

Involutional entropion, a condition in which the lower eyelid margin is rotated inward, occurs often in elderly people. It can result in corneal and conjunctival irritation by the inverted eyelashes. The pathophysiology has been attributed to multiple factors, including attenuation of the tarsal plate with age, enophthalmus occurring with aging, decreased action of the inferior palpebral muscle, and the overridge of the preseptal orbicularis oculi. Many surgical options have been described for the treatment of involutional entropion. We present an innovative surgical procedure for correction of involutional entropion by a horizontal tangential wedge excision of the tarsal plate.

References

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Citations

Jul 16, 2010·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Igal Leibovitch
Mar 5, 2011·Annals of Plastic Surgery·Malcolm A Lesavoy, Emil Kohan
Jan 25, 2007·Annals of Plastic Surgery·Kiyoshi MatsuoTatsuya Kawamura
Oct 1, 2019·Ophthalmic Plastic and Reconstructive Surgery·Mark A PrendesH B Harold Lee
Apr 30, 2014·The Journal of Craniofacial Surgery·Shinichi AsamuraNoritaka Isogai
Oct 14, 2018·International Ophthalmology·Peihsuan LinHirohiko Kakizaki

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