Age-related medial ectropion of the lower eyelid

Background : A simplified procedure is proposed for the repair of medial lower eyelid age-related ectropion. Methods : A posterior horizontal incision is made in the medial half of the lower eyelid at the inferior border of tarsus. The lower eyelid retractors are exposed and then plicated to the tarsus without excision of posterior lamellae or the use of everting sutures. The lid is then shortened horizontally with excision of a pentagonal section or lateral tarsal strip procedure. Results : The procedure was performed in six patients successfully without complication. Conclusions : This is an effective method for repair of lower lid medial age-related ectropion.