The Tarsal Strip Procedure

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

“…To maximise the surgical success of entropion repair, both horizontal and vertical laxity should be corrected [1, 3, 4, 14, 15]. The lateral tarsal strip procedure produces horizontal lid shortening with a diagonal tightening of the orbital septum and lower lid retractors [16, 17, 18]. …”

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

“…To maximise the surgical success of entropion repair, both horizontal and vertical laxity should be corrected [1, 3, 4, 14, 15]. The lateral tarsal strip procedure produces horizontal lid shortening with a diagonal tightening of the orbital septum and lower lid retractors [16, 17, 18]. …”

Age-related eyelid changes

“…If it includes generalized horizontal eyelid laxity, the lateral tarsal strip is recommended [22] In ectropion with significant horizontal eyelid laxity but mild MCT and LCT laxity, horizontal eyelid-shortening procedures, such as Bick [23] or Kuhnt-Szymanowski-Smith procedures are suggested [31,32]. The Kuhnt-Szymanowski-Smith procedure is performed when lower eyelid dermatochalasis accompanies ectropion.…”

“…Subsequently, the skin, orbicularis muscle, eyelash follicles, and conjunctiva around the lateral tarsal plate are excised. The stripped tarsal plate is sutured to the periosteum at the inner aspect of the lateral orbital rim [22]. For significant horizontal laxity with mild LCT laxity, the Bick procedure is performed (Fig.…”

“…These include the transcanthal canthopexy [21], lateral tarsal strip (LTS) procedure [22], or horizontal eyelid-shortening procedures, such as Bick procedure [23]. Lateral canthopexy is used for less severe horizontal eyelid laxity (Fig.…”

Correction of Entropion and Ectropion

“…This procedure is an excellent method to correct any horizontal lower lid laxity and can be used for both entropion and ectropion repair [Anderson and Gordy, 1979]. It can be combined either with inverting or everting procedures, depending on the underlying pathology.…”

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

“…To maximise the surgical success of entropion repair, both horizontal and vertical laxity should be corrected [1, 3, 4, 14, 15]. The lateral tarsal strip procedure produces horizontal lid shortening with a diagonal tightening of the orbital septum and lower lid retractors [16, 17, 18]. …”

Age-related eyelid changes

“…If it includes generalized horizontal eyelid laxity, the lateral tarsal strip is recommended [22] In ectropion with significant horizontal eyelid laxity but mild MCT and LCT laxity, horizontal eyelid-shortening procedures, such as Bick [23] or Kuhnt-Szymanowski-Smith procedures are suggested [31,32]. The Kuhnt-Szymanowski-Smith procedure is performed when lower eyelid dermatochalasis accompanies ectropion.…”

“…Subsequently, the skin, orbicularis muscle, eyelash follicles, and conjunctiva around the lateral tarsal plate are excised. The stripped tarsal plate is sutured to the periosteum at the inner aspect of the lateral orbital rim [22]. For significant horizontal laxity with mild LCT laxity, the Bick procedure is performed (Fig.…”

“…These include the transcanthal canthopexy [21], lateral tarsal strip (LTS) procedure [22], or horizontal eyelid-shortening procedures, such as Bick procedure [23]. Lateral canthopexy is used for less severe horizontal eyelid laxity (Fig.…”

Correction of Entropion and Ectropion

“…This procedure is an excellent method to correct any horizontal lower lid laxity and can be used for both entropion and ectropion repair [Anderson and Gordy, 1979]. It can be combined either with inverting or everting procedures, depending on the underlying pathology.…”

Comparison of Three Techniques for Repair of Involutional Lower Lid Entropion: A Three-Year Follow-Up Study

“…To maximise the surgical success of entropion repair, both horizontal and vertical laxity should be corrected [1, 3, 4, 14, 15]. The lateral tarsal strip procedure produces horizontal lid shortening with a diagonal tightening of the orbital septum and lower lid retractors [16, 17, 18]. …”

Age-related eyelid changes

“…If it includes generalized horizontal eyelid laxity, the lateral tarsal strip is recommended [22] In ectropion with significant horizontal eyelid laxity but mild MCT and LCT laxity, horizontal eyelid-shortening procedures, such as Bick [23] or Kuhnt-Szymanowski-Smith procedures are suggested [31,32]. The Kuhnt-Szymanowski-Smith procedure is performed when lower eyelid dermatochalasis accompanies ectropion.…”

“…Subsequently, the skin, orbicularis muscle, eyelash follicles, and conjunctiva around the lateral tarsal plate are excised. The stripped tarsal plate is sutured to the periosteum at the inner aspect of the lateral orbital rim [22]. For significant horizontal laxity with mild LCT laxity, the Bick procedure is performed (Fig.…”

“…These include the transcanthal canthopexy [21], lateral tarsal strip (LTS) procedure [22], or horizontal eyelid-shortening procedures, such as Bick procedure [23]. Lateral canthopexy is used for less severe horizontal eyelid laxity (Fig.…”

Correction of Entropion and Ectropion

“…This procedure is an excellent method to correct any horizontal lower lid laxity and can be used for both entropion and ectropion repair [Anderson and Gordy, 1979]. It can be combined either with inverting or everting procedures, depending on the underlying pathology.…”