title: Involutional entropion surgery: a modified technique.
abstract: OBJECTIVE
  A study to evaluate the effectiveness of a modified procedure to correct involutional entropion.
  
  
  METHODS
  Seventeen cases of involutional entropion underwent surgery and had a postoperative follow-up of 18 months. The authors describe a technique of vertically shortening the anterior lamella (skin and orbicularis muscle), using a blepharoplasty incision and reflection of a skin muscle flap.
  
  
  RESULTS
  In 16 of 17 eyelids affected by involutional entropion, this operative procedure showed good functional outcome (good correction of the relation between lower eyelid edge and eyeball) and aesthetic outcome (no hypertrophic scar, dyschromia or unnatural folding of the skin).
  
  
  CONCLUSIONS
  A correct approach to entropion surgery needs an accurate preoperative evaluation of the individual physiopathogenic factors. This procedure gives lasting functional and pleasing cosmetic results when preseptal orbicularis muscle override has been identified as the cause of senile entropion.
authors.affiliation: Ophthalmic Division, H.M.O. Barbantini, Lucca, Italy. a.marabotti@tiscalinet.it
authors.forename: A
authors.initials: A
authors.lastname: Marabotti
authors.forename: A
authors.initials: A
authors.lastname: Bedei
authors.forename: G
authors.initials: G
authors.lastname: Lanza
authors.forename: A
authors.initials: A
authors.lastname: Cariello
authors.forename: I
authors.initials: I
authors.lastname: Giannecchini
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000601:surgery