Abstract:

Objective   To evaluate the effect of lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision for senile entropion. Methods   64 patients (84 eyes) with senile entropion were divided into two groups. 24 patients (30 eyes) in group A were treated with simple excision of skin and orbicularis muscle, and 40 patients(54 eyes) in group B were treated with lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision. The effect of the two surgical techniques was compared during a 1-2 years follow-up period. Results   All cases were well corrected after stitches were removed 7 days later. Recurrence happened in six cases of group A and one case of group B. Conclusion   Lower eyelid retractor muscle aponeurosis repair combined with skin and orbicularis muscle excision is a good safe method with low recurrent rate in treatment of senile entropion. 

Key words: Senile entropion； Lower eyelid retractor muscle； Orbicularis muscle