Dr.Prangya Panda, P09876
From jan. 2015 to dec. 2015 7 cases of marked involutional entropion were managed surgically. 4male, 3 female.
Lid was everted. Incision of 1-2 mm deep made in lid margin. Incision made in the skin creese and undermined. Ant. tarsal surface was exposed. Wedge was cut from ant tarsal surface. Tarsal wedge was closed. Lashes were everted with four double armed 6-0 double armed sutures. Needle was passed horizontally into the tarsal plate below the wedge and above the lashroot. Each arm of the suture was taken. Each needle passed through the skin 2mm apart. suture was tied tightly. This closed the tarsal wedge and everted the lashes. Spilt was opened in the lid margin . Allowed to heal by granulation tissue. Patient was reviewed after 1st , 3rd, 7th,day 1 month, 6 month 1 year.correction was adequate in all the cases.
Conclusion- Tarsal wedge resection with lid margin split and anterior lamellar reposition is an effective procedure for marked entropion.
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