Lateral Tarsal Strip Procedure for Right Lower Eyelid Entropion

1. Introduction

2. Lateral Canthotomy and Inferior Cantholysis to Disinsert Lower Eyelid at Lateral Orbital Rim

3. Determining New Eyelid Position

4. Separation of the Posterior and Anterior Lamella of the Lower Eyelid

5. Excision of Lid Margin Epithelium

6. Deepithelialization of Palpebral Conjunctiva Along Posterior Aspect of Tarsal Strip

7. Trimming Tarsal Strip to Appropriate Length

8. Reattachment of the Tarsal Strip to the Periosteum of the Lateral Orbital Rim with 4-0 Mersilene Double-Armed Suture

9. Closure of the Lateral Canthal Angle and Skin with Running 6-0 Plain Gut Suture

10. Post-op Remarks