["Anterior lamellar repositioning" for correction of entropion of the upper eyelid].
"Anterior lamellar reposition" is an operation for the correction of a mild or moderate upper-lid entropion. This retrospective study analyses the preoperative course of the disease and the postoperative results.


METHODS
The anterior lamella consisting of skin and orbicularis muscle is shifted upwards and fixed against the tarsal plate. This causes an eversion of the lid margin, which can be improved by a horizontal lid split.


METHODS
Thirty-five operations on 34 lids of 22 patients aged 27-80 years were performed. The mean follow-up was 15 months.


RESULTS
A specific cause for the entropion was found in less than two-thirds of the lids. Preoperative complaints lasted from 2 months to 30 years, 9 years on average. Most patients had been repeatedly treated for trichiasis before. Postoperatively, 21 of 22 patients with 33 of 34 lids were without complaints. In one case a second operation was necessary. One lid with an advanced pemphigoid did not improve. In 33 functionally successfully operated lids (97%), one lid showed a mild entropion without trichiasis, another a lash ptosis. Further complications were not noticed.


CONCLUSIONS
The "anterior lamellar reposition" is a technically simple and effective surgical procedure for the correction of mild and moderate upper eye lid entropion, even for long-standing disease.
Hintschich
C R
CR
Augenklinik, Ludwig-Maximilians-Universität München.
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D004774:Entropion / Q000145:classification / Q000209:etiology / Q000601:surgery*; D005143:Eyelids / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012086:Reoperation; D012189:Retrospective Studies; D013536:Suture Techniques; D016896:Treatment Outcome