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  • Title: The lower lid diamond: a simple entropion repair to correct both horizontal and lower-lid retractor laxity.
    Author: Roberts MA, Baddeley P, Sinclair N, Lane CM.
    Journal: Ophthalmic Plast Reconstr Surg; 2012; 28(1):44-6. PubMed ID: 22186987.
    Abstract:
    PURPOSE: To describe a simple technique for involutional entropion correction and to present the findings of a pilot study. METHODS: Consecutive case series of 42 procedures. Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity (lateral canthus could be distracted 1 cm or more medially) underwent a modified full-thickness eyelid shortening combined with retractor plication. Main outcome measures were correction of entropion and cosmesis of the surgical site at final follow up. RESULTS: At final follow up, 92% of patients had a satisfactory eyelid position with no recurrence of entropion and a cosmetically satisfactory scar. CONCLUSIONS: This is a useful technique with a higher success rate than everting sutures and is particularly suitable for patients for whom rapid surgery is needed or a lateral canthotomy is best avoided.
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