Magnetic resonance imaging of preand postoperative lower eyelid states in involutional entropion

Purpose: To disclose pre- and postoperative lower eyelid gradients in involutional entropion using sagittal magnetic resonance imaging (MRI). Methods: Three female patients, average age 82 (two right eyes and one left), were operated on for involutional entropion by the Jones procedure. Before and after the surgery, the lower eyelid gradient was evaluated by MRI and photography. Results: Preoperatively, each lower eyelid presented anterior protrusion, and the retractor was apart from the globe. Postoperatively, no anterior protrusion was observed, and the retractor was pulled posteroinferiorly and located parallel to the globe. Conclusions: The MRI visualization of pre- and postoperative changes of gradient in the lower involutional entropion supports surgical reconstruction. (C) Japanese Ophthalmological Society 2004.