Küper J, Müller U
Klin Monbl Augenheilkd. 1981 Jun;178(6):460-3. doi: 10.1055/s-2008-1057242.
The pathogenetic factors responsible for senile entropion are: age-induced relaxation of the lower lid structures with elongation of the lid and improper loose adaptation between lid margin and globe, a weak tarsal plate and a lower stimulus threshold of the facial nerve. A surgical intervention which consists of radical lid-shortening by an bloc tarsal resection seems to be the most logical procedure. It was performed on 285 patients. The methods results in a lower rate of recurrence, normalizes lacrimal flow and has an excellent cosmetic side-effect improving the configuration of the lid-fissure. A special indication exists for cases in which there is a relapse following surgery.
年龄增长引起下睑结构松弛，睑缘延长，睑缘与眼球之间适应性不当且松弛，睑板薄弱以及面神经刺激阈值降低。一种通过整块睑板切除术进行彻底睑缩短的外科手术似乎是最合理的手术方法。该手术已应用于285例患者。该方法复发率较低，能使泪液流动正常化，并且具有改善睑裂形态的极佳美容效果。对于手术后复发的病例存在特殊适应症。
