J Korean Ophthalmol Soc.  2002 Aug;43(8):1355-1361.

The Capsulopalpebral Fascia Repair for Senile Entropion

Affiliations
  • 1Department of Ophthalmology, St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.cwcmc@hotmail.com
  • 2Department of Ophthalmology, Our Lady of Mercy Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea.

Abstract

PURPOSE: We report that simple capsulopalpebral fascia (CPF) repairs were effective when patients diagnosed as senile entropion had the disinsertion lines of the CPF on everted lower conjunctivas (demarcation line).
METHODS
Twenty patients (27 eyes) who had demarcation lines and showed no severe horizontal lid laxity were operated for senile entropion during the period March 1, 1996 to July 30, 2001. After subciliary skin incision, the disinserted CPF was identified and repaired by reattaching the superior edge of the CPF to the inferior edge of the lower tarsus.
RESULTS
This procedure was performed on 27 eyes of 20 patients (women 11, men 9, average age 68.6 years). We followed up the patients from 3 to 30 months after surgeries (average 7.8 months). Two patients showed complications, one was conjunctival prolapse and the other was recurrence of entropion.
CONCLUSIONS
Simple capsulopalpebral fascia (CPF) repairs gave good results in patients with senile entropion who had disinsertion lines of the CPF on everted lower conjunctiva (demarcation line) without severe horizontal lid laxity. Moreover this procedure had shorter operation and recovery times compared with other combined surgeries.

Keyword

Capsulopalpebral fascia; Demarcation line; Senile entropion

MeSH Terms

Ankle
Conjunctiva
Entropion*
Fascia*
Humans
Male
Prolapse
Recurrence
Skin
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