A small incision technique for repairing involutional lower eyelid entropion

  • Hatice Deniz IlhanEmail author
  • Aylin Yaman
  • Meltem Soylev Bajin
Original Paper



The objective of this paper is to describe and review our experience with Goldberg’s small incision technique for use with involutional entropion.


Retrospective consecutive interventional case series with validated late surgical outcomes were reported. All involutional entropion cases with horizontal laxity of less than 8 mm were repaired with a small incision technique. Retractors were separated from the tarsus by blunt dissection made from three 4 mm horizontal incisions. Three 6-0 double-armed polyglactin sutures were used to tighten retractors and the orbicularis oculi muscle. The sutures were removed 3 weeks postoperatively or earlier if overcorrection continued during the first week of the postoperative period. Data were obtained for a postoperative follow-up period of at least 24 months.


A total of thirty-seven lower eyelids from thirty-one patients with involutional entropion were included in the study. Primary operations were performed on 31 eyelids and reoperations on six eyelids. The mean follow-up time was 40 ± 11 months. Thirty-six (97.3%) of the eyelids had no recurrence. As overcorrection was seen postoperatively in ten eyelids (27%), a number of sutures had to be removed earlier than planned. The ectropion eventually resolved, and no recurrence was seen during follow-up in these patients.


In our practice, the small incision technique has been highly effective in involutional entropion repair, with minimal complications. Although this approach does not directly address lateral canthal tendon laxity, the procedure has the advantages of being easy to learn and also that it can be combined with other procedures for tendon laxity.


Entropion Involutional Lower eyelid Small incision 



The authors are grateful to Dr. Antigoni Koukkoulli for English editing. None of the authors have received any financial grants or funding for this study.


All authors certify that they have no affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, stock ownership, or other equity interests; and expert testimony or patent-licensing arrangements) or non-financial interest (such as personal or professional relationships, affiliations, knowledge, or beliefs) in the subject matter or materials discussed in this manuscript.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Informed consent

Informed consent was obtained from all individual participants included in this study.

Research involving human participants and/or animals

This article does not contain any studies that were performed on animals by any of the authors.


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Copyright information

© Springer Nature B.V. 2019

Authors and Affiliations

  • Hatice Deniz Ilhan
    • 1
    Email author
  • Aylin Yaman
    • 2
  • Meltem Soylev Bajin
    • 2
  1. 1.Department of OphthalmologyAkdeniz UniversityAntalyaTurkey
  2. 2.Department of OphthalmologyDokuz Eylul UniversityIzmirTurkey

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