FP1427 : Surgical Management of Moderate Cicatrical entropion of upper eye lid

Dr.Abhisek Mondal, M19086

A case of Moderate cicatrical entropion was managed by tarsal wedge resection with meticulous suture for anterior rotation of lid margin.

The surgery was performed under local anaesthesia and incision was given 4 mm away from lid margin. A strip of pretarsal orbicularis muscle was excised. A 3 mm wide wedge of tarsus, 3 mm from lid margin was fashioned across the whole length of the eyelid. A wedge of tarsus with 90% of thickness was removed. 3 double arm 5’0 vicryl sutures passing from proximal half of the cut margin, distal part of tarsus, pretarsal orbicularis and skin emerging about 2 mm from lid edge were given. These sutures created anterior rotation of lid margin. Redundant skin was excised to enhance eversion. Skin was closed with 5’0 prolene sutures.

Though numerous surgeries are described to correct cicatrical entropion, this method of tarsal wedge resection and suturing gives the best result.