AIM: To observe the clinical effect of modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture in the treatment of senile entropion, and to improve reference for clinical treatment planning.

METHODS:A retrospective analysis from August 2009 to August 2012, 218 cases of patients with lower eyelid entropion were treated in our hospital, according to the different operation methods for the observation group 128 cases and control group with 90 cases. The observation group was treated with modified tightening operation of orbicularis combined with lower eyelid retractor muscle aponeurosis suture, control group with suture plus margin incision for treatment. Follow-up of two groups were 1a, the clinical curative effect at 1mo and 1a postoperatively was observed.

RESULTS: The observation group healed in 124 cases at 1mo after operation, the cure rate was 96.9%, the control group cured 84 cases, the cure rate was 93.3%. The differences of cure rate in two groups were not statistically significant(P>0.05); the observation group healed in 111 cases at 1a after operation, the cure rate was 86.7%, the control group cured 58 cases, the cure rate was 64.4%, the recovery rate of observation group was significantly higher than the control group(P<0.05).

CONCLUSION:The modified senile entropion operation has good curative effect, and the operation is simple, the recurrence rate is low, it is worth popularizing.