AIM:To compare the clinical effect of the lower eyelid retractor muscle transposition and eyelid orbicularis muscle folding shorten combined with lower eyelid retractor muscle transposition in the treatment of senile lower eyelid entropion.

METHODS: Sixty-four cases(85 eyes)with senile lower entropion were divided into Group A(31 cases 42 eyes)and Group B(33 cases 43 eyes)according to the different ways of operation from January 2013 to October 2014 in our hospital. Patients in Group A were treated by eyelid retractor muscle transposition while patients in Group B treated by eyelid orbicularis muscle folding shortening combined with lower eyelid retractor muscle transposition. The short-term and long-term therapeutic efficacy and two-year recurrence rates after operation were compared between the two groups.

RESULTS: The short-term effective rate of patients in Group B was higher than that of Group A while the difference was not statistically significant(98% vs 95%, P>0.05). The long-term effective rate of patients in Group B was higher than that of Group A and the difference was statistically significant(95% vs 83%)and two-year recurrence rate of patients in Group B was lower than that of Group A(5% vs 17%)and the difference was statistically significant(P<0.05).

CONCLUSION:The clinical curative effect of eyelid orbicularis muscle folding shortening combined with lower eyelid retractor muscle transposition is better than single retractor muscle transposition in the treatment of senile lower eyelid entropion.