AIM: To evaluate the efficacy of simultaneous surgery for correcting senile blepharoptosis combined with upper eyelid entropion.

METHODS: From June 2010 to June 2013, 30 cases(60 eyes)patients with senile blepharoptosis combined with upper eyelid entropion, received simultaneous surgery. The simultaneous surgery was upper eyelid entropion correction with levator palpebrae superioris muscle shortening and advancement.

RESULTS: All cases were performed surgery successfully. The position of upper eyelid and the management of upper eyelid entropion were observed. The upper eyelid margin rested 1.68±0.71mm below the superior limbus at 1wk, 1.71±0.69mm below the superior limbus at 1mo, and 1.70±0.65mm below the superior limbus at 6mo. Compared with the preoperative values, the difference were statistically significant(P<0.05). No postoperative complications such as exposure keratitis and overcorrection were observed.

CONCLUSION: Most of patients with senile upper eyelid entropion has senile blepharoptosis, Ophthalmologists should pay attention to those patients and give them the correct surgery techniques. It is effective to use upper eyelid entropion correction with levator palpebrae superioris muscle shortening and advancement to correct senile blepharoptosis with upper eyelid entropion.