DR MRITTIKA SEN

, Dr. SANTOSH G. HONAVAR

Abstract

Abstract: Entropion is the inward rotation of the eyelid towards the globe and it can cause functional disabilities. The horizontal and vertical eyelid laxity and the overriding of the preseptal orbicularis over the preseptal component are underlying causes responsible for lower eyelid entropion. This video illustrates the pathogenesis, clinical features and the clinical tests to diagnose lower eyelid entropion. Different surgeries have been described to address mechanisms responsible for lower lid entropion. Jones procedure, first described in 1972, essentially reattaches the lower lid retractors to the tarsus. Jones procedure has undergone several modifications and still remains one of the most preferred surgeries. In this video we also describe the surgical steps of a modification of the Jones procedure to correct involutional entropion.