Abstract
Spastic entropion of the lower lid is frequently stubbornly resistant to surgical correction. The inadequacy of methods of treatment is emphasized by the multiplicity of procedures advocated for its correction, which range from the use of adhesive tape to mutilating surgical procedures on the lid. This presentation will be confined to a description of a simple surgical procedure for correcting this condition. The term spastic entropion is used here to mean the intermittent spastic intorsion of the free border of the lower lid. This definition excludes true cicatricial entropion. The anatomic considerations pertinent to this discussion are the location and the attachment of the lower palpebral free border portion of the orbicularis palpebrarum muscle and the location of the tarsal ligament. The temporal third of the lower lid is composed of two layers ; the anterior, or cutaneous, and the posterior, or conjunctival. The anterior part is composed of skin, cilia
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