Magnetic resonance imaging of pre- and postoperative lower eyelid states in involutional entropion.
OBJECTIVE
To disclose pre- and postoperative lower eyelid gradients in involutional entropion using sagittal magnetic resonance imaging (MRI).


METHODS
Three female patients, average age 82 (two right eyes and one left), were operated on for involutional entropion by the Jones procedure. Before and after the surgery, the lower eyelid gradient was evaluated by MRI and photography.


RESULTS
Preoperatively, each lower eyelid presented anterior protrusion, and the retractor was apart from the globe. Postoperatively, no anterior protrusion was observed, and the retractor was pulled posteroinferiorly and located parallel to the globe.


CONCLUSIONS
The MRI visualization of pre- and postoperative changes of gradient in the lower involutional entropion supports surgical reconstruction.
Kakizaki
Hirohiko
H
Department of Ophthalmology, Aichi Medical University, Aichi, Japan. cosme@d1.dion.ne.jp
Zako
Masahiro
M
Mito
Hidenori
H
Katori
Nobutada
N
Iwaki
Masayoshi
M
D000368:Aged; D000369:Aged, 80 and over; D004774:Entropion / Q000175:diagnosis* / Q000601:surgery; D005143:Eyelids / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D011184:Postoperative Period; D011300:Preoperative Care