A simple method for the correction of senile entropion.

The authors describe a simple method for surgical correction of senile entropion that is a modification of the Jones, Reeh, and Tsujimura technique. The modification consists in the use of the classic blepharoplasty incision, dissection of a skin flap, and resection of a strip from the orbicularis oculi. After the resection of excess skin, suturing begins--passing through skin, septum, and skin, correcting the deformity on the lash border. The anatomy of the region is discussed, as well as the etiology of the condition and preoperative management. The result of this technique in 26 patients with senile entropion is described. There were no complications after twelve- to thirty-month follow-up, save in 1 case in which a hematoma occurred. This was subsequently drained.