Richard R. Tenzel

Repair of Cicatricial Entropion of the Upper Eyelid

The disparity in vertical length between the skin muscle lamellae and the tarsoconjunctival lamellae in cicatricial entropion of the upper eyelid secondary to contracture of the transconjunctival layer was corrected by a transconjunctival incision allowing the eyelid to straighten. The resultant defect in the tarsoconjunctival lamellae was corrected by means of a bare scleral graft 20% larger than the defect in the eyelid. The graft was allowed to epithelialize spontaneously and was not covered with mucuous membrane.

Actinic comedonal plaque of the eyelid.

A variety of actinic lesions occur on the eyelids and facial skin. Actinic comedonal plaque is an unusual entity that falls into this category. We successfully treated such a lesion with cryotherapy.