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A Simplified Treatment for Entropion

A Simplified Treatment for Entropion Abstract When multiple procedures are described for a specific condition, then none are considered entirely satisfactory. So it is with the treatment of entropion. The procedure to be described here is based on the opinion that many cases of entropion occur when the tarsal plate becomes lax and loses its rigidity. When this happens the least amount of excess contraction of the orbicularis muscle will cause an infolding of the eyelid (Figure, A). This procedure consists of excising a triangular wedge of conjunctiva-tarsal plate halfway along the length of the eyelid (Figure, B), while hemostasis is obtained with a large chalazion clamp.* The surgeon must be careful to avoid the lid margin. The base of the triangular wedge is 5 to 8 mm in length depending on the severity of the entropion and is located close to the lower margin of the tarsal plate. The sutures (three 4-0 plain catgut) are References 1. A modification of the Desmarres chalazion forceps has been devised which outlines the desired triangle size on a millimeter rule. This forceps may be obtained through Dr. M. L. Kwitko. 2. Fox, S. A.: Ophthalmic Plastic Surgery , third ed, New York: Grune & Stratton, Inc., 1963, pp 247-248. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

A Simplified Treatment for Entropion

Archives of Ophthalmology , Volume 72 (1) – Jul 1, 1964

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Publisher
American Medical Association
Copyright
Copyright © 1964 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1964.00970020066015
Publisher site
See Article on Publisher Site

Abstract

Abstract When multiple procedures are described for a specific condition, then none are considered entirely satisfactory. So it is with the treatment of entropion. The procedure to be described here is based on the opinion that many cases of entropion occur when the tarsal plate becomes lax and loses its rigidity. When this happens the least amount of excess contraction of the orbicularis muscle will cause an infolding of the eyelid (Figure, A). This procedure consists of excising a triangular wedge of conjunctiva-tarsal plate halfway along the length of the eyelid (Figure, B), while hemostasis is obtained with a large chalazion clamp.* The surgeon must be careful to avoid the lid margin. The base of the triangular wedge is 5 to 8 mm in length depending on the severity of the entropion and is located close to the lower margin of the tarsal plate. The sutures (three 4-0 plain catgut) are References 1. A modification of the Desmarres chalazion forceps has been devised which outlines the desired triangle size on a millimeter rule. This forceps may be obtained through Dr. M. L. Kwitko. 2. Fox, S. A.: Ophthalmic Plastic Surgery , third ed, New York: Grune & Stratton, Inc., 1963, pp 247-248.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jul 1, 1964

References