Lateral Tarsal Strip Procedure for Left Lower Eyelid Entropion
Tags: Ophthalmology
Table of Contents
1. Preoperative Steps
- Anesthesia of the lateral canthal angle with a local injection of 2% lidocaine and epinephrine.
- Prepping and draping.
2. Surgery
- Creation of a lateral canthotomy by cutting through the lateral canthal tendon with Westcott scissors.
- Inferior cantholysis is performed by cutting the inferior crus of the lateral tarsal tendon using Westcott scissors.
- The new position of the mobilized lower lid is approximated and marked.
- The anterior and posterior lamella of the marked portion are separated using Westcott scissors.
- The strip containing the eyelash follicles is removed.
- The lid margin and posterior tarsal strip is deepithelialized with scissors and #15 blade.
- The excess portion of the tarsal strip is removed.
- The tarsal strip is reattached to the periosteum of the lateral orbital rim with a 4-0 Mersilene double-armed non-absorbable suture.
- The lateral canthal angle and the skin are closed with 6-0 plain gut running suture.
3. Postoperative Care
- Cold compresses or ice packs for the first 4–5 days after surgery.
- Topical and oral antibiotics.
- Artificial tears for lubrication as needed.
- Follow-up in 1 week for postoperative evaluation.