Rohrbach F
Klin Monbl Augenheilkd. 1980 Dec;177(6):822-4. doi: 10.1055/s-2008-1057737.
Laxity of skin and tissue over the tarsal plate and spasm of the orbicular muscle along the lid margin lead to senile entropion. The lashes rub against the cornea and this irritation incites further lid spasm. The inferior margin of the tarsus everts easily and in strong cases of entropion the tarsal plate has turned 180 degrees. In 1957 Schimek described a method of correcting senile entropion by a permanently buried horizontal suture which runs from the medial part of the orbicular muscle to the periost of temporal orbital margin. This suture tightens the orbicular muscle and tarsoorbital fascia and provides eversion of the lower border of the tarsus. We have done this operation in 36 patients and were able to examine 24 of them (29 eyes) after a period of one month to 5 years after operation. In 21 patients we noted good results, in 8 cases we found a recurrence of entropion, which means a relatively high recidivity rate with this method.
睑板上方皮肤和组织松弛以及睑缘处眼轮匝肌痉挛导致老年性睑内翻。睫毛摩擦角膜，这种刺激会引发进一步的眼睑痉挛。睑板下缘容易外翻，在严重的睑内翻病例中，睑板已翻转180度。1957年，希梅克描述了一种通过永久埋藏的水平缝线来矫正老年性睑内翻的方法，该缝线从眼轮匝肌内侧部分延伸至颞侧眶缘骨膜。这条缝线收紧眼轮匝肌和睑眶筋膜，并使睑板下缘外翻。我们对36例患者进行了该手术，术后1个月至5年对其中24例（29只眼）进行了检查。21例患者效果良好，8例出现睑内翻复发，这意味着该方法的复发率相对较高。
