AIM: To observe the clinical effect of slack skin excision combined with orbicularis oculi muscle shortening and orbicularis muscle shortening in the treatment of elderly patients with lower eyelid entropion, and provide the reference for the clinical treatment.

METHODS: Eighty-two(126 eyes)clinical diagnosis's elderly patients with lower eyelid entropion were collected from our department, then randomly divided into excised relaxing skin and orbicularis oculi muscle shortening treatment group and the orbicularis muscle shortening treatment group.The general data of the two groups, long term curative effect and short-term curative effect were compared.

RESULTS: The age, sex, proportion of patients with the first time operation, course of disease were no statistical significance between the observation group and the control group(P>0.05). The short-term effective rate of the observation group was 95.2%, while the short-term effective rate of the control group was 77.8%, the short-term efficiency differences between the two groups was statistical significance(χ²=4.100, P=0.043). The long-term cure rate of the observation group was 82.5%(34 cases, 52 eyes), recurrence rate was 17.5%(7 cases, 11 eyes), while the cure rate of the control group was 60.3%(25 cases, 38 eyes), recurrence rate was 39.7%(16 cases, 25 eyes), the difference of long term cure rate was statistical significance between the two groups(P<0.05).

CONCLUSION: The clinical curative effect of slack skin excision combined with orbicularis oculi muscle shortening in the treatment of senile inferior entropion is better than orbicularis muscle shortening operation, recommending application in the clinical.