Single-stitch operation for senile entropion.

Butler (I 948) described a simple operation for entropion; a triangular piece of tarsal plate and conjunctiva, base down and apex almost at the lid margin, was removed with blunttipped scissors "to avoid damage to the muscle fibers" (of orbicularis oculi). Kwitko (i 964) described a very similar procedure. The operation reported here has been in use at the Sussex Eye Hospital, Brighton, for some years. A search of the literature has not revealed its previous publication. Its main difference from Butler's operation is that the fibres of the orbicularis are cut.