Eyelid Laxity

Eyelid Laxity
Entropion
Entropion | Forms of Entropion | Congenital | Acute Spastic | Involutional Entropion | Cicatricial Entropions | Sponsors | Bottom of Page

Entropion

Four basic anatomic defects which may lead to entropion:

  • Horizontal lid laxity
  • disinsertion or attenuation of retractors
  • preseptal orbicularis overiding the pretarsal orbicularis muscle
  • enophthalmos

Entropion

Forms of Entropion

  • Congenital
    • rare
    • differentiate from epiblepharon
    • treat by excising skin and orbicularis below eyelid margin
  • Acute Spastic
    • due to ocular inflammation and irritation
    • Treat underlying disease or quickert suture
  • Involutional entropion
    • Etiologies

Entropion

Entropion

  • laxity or defect of the lower eyelid retractors (involutional=senile), due to lid retratctor dehiscence of the lower eyelid retractors (analogue of mueller's muscle) or of capsulopapebral fascia (analogue of levator)
  • horizontal eyelid laxity
  • preseptal orbicularis override
  • enophthalmos
  • Treatment
    • Thermal cautery
    • quickert suture
    • re-attachment of lower eyelid retractors
    • full thickness horizontal eyelid lid splitting and marginal rotation
    • orbicularis muscle tightening procedures
    • horizontal lid shorteing
    • tarsal strip
    • Pre-Op: Note the roll/muscle evident
    Post-Op: lid margin is rotated out
  • Cicatricial entropions
    • Etiology
      • trauma
      • inflammation
      • pemphigus
      • pemphigoid
      • stevens-johnson syndrome
      • trachoma
    • Treatment
      • contact lenses
      • epilation
      • lubrication
      • mucous membrane graft
      • scleral grafts
Operation photogallery
 
before operation after operation