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Involutional lower eyelid entropion: causative factors and therapeutic management

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Abstract

Purpose

To summarize proposed causative factors and the outcomes of surgical practices for involutional lower eyelid entropion.

Methods

We reviewed the literature on proposed causative factors and the outcomes of surgical practices for involutional lower eyelid entropion, searched on PubMed.

Results

Vertical and horizontal laxities of the lower eyelid, and overriding of the preseptal orbicularis oculi muscle onto the pretarsal orbicularis oculi muscle have been proposed as the major causes of involutional lower eyelid entropion. Treatment procedures have been developed over the years to address one or more of these causative factors.

Conclusions

Various causative factors and treatment procedures have been advocated to explain and correct involutional lower eyelid entropion. The appropriate procedure is chosen according to the patient’s condition, such as the presence of vertical laxity, horizontal laxity, and orbicularis oculi muscle overriding. A combination of these procedures to correct multiple factors further decreases the recurrence rate.

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Authors and Affiliations

  1. Department of Oculoplastic, Orbital, and Lacrimal Surgery, Aichi Medical University Hospital, 1-1 Yazakokarimata, Nagakute, Aichi, 480-1195, Japan

    Peihsuan Lin, Yoshiyuki Kitaguchi, Jacqueline Mupas-Uy, Maria Suzanne Sabundayo, Yasuhiro Takahashi & Hirohiko Kakizaki

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  1. Peihsuan Lin
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  2. Yoshiyuki Kitaguchi
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  3. Jacqueline Mupas-Uy
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Correspondence to Hirohiko Kakizaki.

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Lin, P., Kitaguchi, Y., Mupas-Uy, J. et al. Involutional lower eyelid entropion: causative factors and therapeutic management. Int Ophthalmol 39, 1895–1907 (2019). https://doi.org/10.1007/s10792-018-1004-1

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