Abstract
The pathophysiology of involutional entropion is multifactorial and correction of the multiple causes may require use of a combination of procedures. Here, we report the outcome of treatment of entropion of the lower eyelid using the rhytidoplasty and modified Celsus–Hotz procedure for 29 Japanese patients. The patients comprised nine males and 20 females of age 44 to 86 years old (average age 69 years old). A postoperative assessment was performed in our office or by telephone interview. There were no cases of secondary ectropion and almost all of the patients were pleased with the results. This combined procedure is a simple approach with reduced invasiveness that can address almost all the main factors that contribute to formation of involutional entropion in Asian patients. In our patients, postoperative complications were rare and the results were satisfactory in terms of functional and aesthetic improvement.
Similar content being viewed by others
References
Jones LT, Reeh MJ, Wobig JL (1972) Senile entropion: a new concept for correction. Am J Ophthalmol 74:372–379
Jones LT (1960) The anatomy of the lower lid and its relation to the cause and cure of entropion. Am J Ophthalmol 49:29–36
Fow A (1976) Senile entropion. Annu Ophthalmol 8:167–172
Dalgleish R, Smith JIS (1966) Mechanics and histology of senile entropion. Br J Ophthamol 50:79–91
Schaeffer A (1987) Involutional entropion. In: Smith BC, Della Rocca RC, Nesi FA, Lisman RD (eds) Ophthalmic plastic and reconstructive surgery. Mosby, St. Louis, pp 546–555
Leonid S (2003) A review of entropion and its management. Contact Lens Anterior Eye 26:95–100
Quickert MH, Rathbun E (1970) Suture repair of entropion. Arch Ophthalmol 1:20–23
Wright M, Bell D, Scott C, Leatherbarrow B (1999) Everting suture correction of lower lid involutional entropion. Br J Ophthalmol 83:1060–1063
Weis FA (1954) Surgical treatment of entropion. J Int Coll Surg 21:58–60
Lesavoy MA, Gomez-Garcia A, Sheng F, Yospur G, Gimbel ML (2006) Correction of involutional entropion by horizontal tangential wedge excision of the tarsus. Annu Plast Surg 56:330–335
Collin JRO (1989) A manual of systematic eyelid surgery, 2nd edn. Churchill Livingstone, Edinburgh, pp 20–23
Anderson RL, Gordy DD (1979) The tarsal strip procedure. Arch Ophthalmol 97:2192–2196
Danks JJ, Rose GE (1998) Involutional lower lid entropion: to shorten? Ophthalmol 106:2065–2067
Fox SA (1972) Surgery of senile ectropion and entropion. Annu Ophthalmol 4:217–231
Rougraff PM, Tse DT, Johnson TE, Feuer W (2001) Involutional entropion repair with fornix sutures and lateral tarsal strip procedure. Ophthalmic Plast Reconstr Surg 17:281–287
Henry MS, Nassim T, Donald RN (2006) Correction of involutional entropion with suborbicularis septal and lateral canthal tightening. Plast Reconstr Surg 117:1560–1567
Ho SF, Pherwani A, Elsherbiny SM, Reuser T (2005) Lateral tarsal strip and Quickert sutures for lower eyelid entropion. Ophthalmic Plast Surg 21:345–348
Wesley RE, Collins JW (1983) Combined procedure for senile entropion. Ophthalmic Surg 14:401–405
Mauriell JA, Abdelsalam A (1997) Modified corncrib (inverted T) procedure with Quickert suture for repair of involutional entropion. Ophthalmol 104:504–507
Carroll RP, Allen SE (1991) Combined procedure for repair of involutional entropion. Ophthalmic Plast Reconstr Surg 7:123–127
Carter SR, Chang J, Aguilar GL, Rathbun JE, Seiff SR (2000) Involutional entropion and ectropion of the Asian lower eyelid. Ophthalmic Plast Reconstr Surg 16:45–49
Rees TD (1980) Aesthetic plastic surgery. Saunders, Philadelphia, p 502
Nakazato K, Matsuoka K, Tanabe Y, Makino Y, Torii S (2005) Horizontal posterior lamella resection for refractory senile entropion. Jpn J Plast Surg 48:129–135
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Kondo, M., Minakawa, H., Funayama, E. et al. Correction of involutional entropion using a rhytidoplasty technique. Eur J Plast Surg 32, 181–184 (2009). https://doi.org/10.1007/s00238-009-0336-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00238-009-0336-5