Lid retractors desinsertion in acquired ptosis and involutional lower lid entropion: surgical implications. |
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Authors: | I O Haefliger J M Piffaretti |
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Institution: | Oculoplastic Surgery Unit, University Eye Clinic Basel, Mittlere Strasse 91, PO Box, CH-4012 Basel. |
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Abstract: | BACKGROUND: An association exists between upper and/or lower lid retractors' desinsertion and acquired ptosis and/or involutional lower lid entropion. METHOD: By highlighting the similarities that exist in the anatomy of the upper and lower lid retractors a possible pathophysiological mechanism leading to acquired ptosis and involutional lower lid entropion is suggested. As a logical consequence, in case of desinsertion, it is proposed to reattach the lid retractors to the tarsus. RESULTS: With this simple "physiological" surgical approach it is possible to treat with success a great majority of acquired ptosis and/or involutional lower lid entropion. CONCLUSION: Repairing upper and/or lower lid retractors' desinsertion can cure acquired ptosis and/or involutional lower lid entropion. |
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