Jackson S T
Ophthalmic Surg. 1983 Apr;14(4):322-6.
Surgery for involutional entropion must correct horizontal eyelid laxity, vertical laxity, and overriding of the tarsus by the infra-tarsal tissues. The surgery should give lasting functional and pleasing cosmetic results. These goals are achieved with: 1) a blepharoplasty incision and reflection of a skin-muscle flap; 2) excision of a wedge of eyelid tissue at the lateral canthus; 3) barrier sutures or tuck of the retractors; 4) reattachment of the lid to the lateral orbital rim; and 5) excision of excess skin.
老年性睑内翻手术必须矫正睑水平松弛、垂直松弛以及睑板下组织对睑板的覆盖。手术应获得持久的功能和美观效果。通过以下方法可实现这些目标：1）睑成形术切口及皮肤肌肉瓣的翻转；2）外眦处楔形睑组织切除；3）睑退缩肌的屏障缝合或折叠；4）睑与眶外侧缘重新附着；5）多余皮肤切除。
