Transconjunctival entropion repair
S. C. Dresner and J. W. Karesh
Department of Ophthalmology, Jules Stein Eye Institute, UCLA School of Medicine, Los Angeles, Calif.
Involutional lower-eyelid entropion has three underlying correctable
causes: eyelid laxity, overriding of the orbicularis oculi muscle, and
attenuation of the lower-eyelid retractors. We describe a new technique for
correcting this problem. A transconjunctival approach is used to advance or
fortify the lower-eyelid retractors. The orbicularis oculi muscle can also
be addressed through this approach. Combining this technique with lateral
canthal resuspension anatomically corrects the entropion by addressing all
three correctable causes. Transconjunctival blepharoplasty can also be
performed in conjunction with this technique. Twenty-three eyelids of 18
patients successfully underwent this procedure. Six patients underwent
simultaneous transconjunctival blepharoplasty. Follow-up ranged between 9
and 18 months. There were no postoperative recurrences, overcorrections, or
lower-eyelid retraction. This approach yields a stable and definitive
repair of involutional entropion with excellent postoperative cosmesis.
