Abstract
The authors present a case of unilateral eyelid congenital tarsal kink associated with corneal ulcer. The tarsal kink was corrected by a horizontal tarsal incision, performed half the thickness of the tarsus along its entire horizontal extent. Terminal levator aponeurosis fibers were reattached to the tarsal incision line to create sufficient everting force for correction of the entropion. The tarsal kink disappeared and eyelid positions remained stable during a follow-up period of 2 years.
- 1.el-Mulki S, Lawson J, Taylor D. A new and simple procedure for correction of congenital tarsal kink. J Pediatr Ophthalmol Strabismus. 1998; 35:172–173. Link, Google Scholar
- 2.Unal M, Tunç M, Konuk O. Severe congenital horizontal tarsal kink without levator aponeurosis disinsertion. Ophthalmic Plast Reconstr Surg. 2003; 19:79–81.
10.1097/00002341-200301000-00012 Crossref Medline, Google Scholar - 3.Dailey RA, Harrison AR, Hildebrand PL, Wobig JL. Levator aponeurosis disinsertion in congenital entropion of the upper eyelid. Ophthal Plast Reconstr Surg. 1999; 15:360–362.
10.1097/00002341-199909000-00010 Crossref Medline, Google Scholar - 4.Sires BS. Congenital horizontal tarsal kink: clinical characteristics from a large series. Ophthal Plast Reconstr Surg. 1999; 15:355–359.
10.1097/00002341-199909000-00009 Crossref Medline, Google Scholar - 5.Firat T, Ozkan S. Bilateral congenital entropion of the upper eyelids. Br J Ophthalmol. 1973; 57:753–754.
10.1136/bjo.57.10.753 Crossref Medline, Google Scholar - 6.Naik MN, Honavar SG, Bhaduri A, Linberg JV. Congenital horizontal tarsal kink a single-center experience with 6 cases. Ophthalmology. 2007; 114:1564–1568.
10.1016/j.ophtha.2006.12.001 Crossref Medline, Google Scholar - 7.Hiles DA, Wilder LW. Congenital entropion of the upper lids. J Pediatr Ophthalmol Strabismus. 1969; 6:157–161. Link, Google Scholar
- 8.Zak TA. Congenital primary upper eyelid entropion. J Pediatr Ophthalmol Strabismus. 1984; 21:69–73. Link, Google Scholar
- 9.McCarthy RW. Lamellar tarsoplasty: a new technique for correction of horizontal tarsal kink. Ophthalmic Surg. 1984; 15:859–860. Medline, Google Scholar
- 10.Price NC, Collin JR. Congenital horizontal tarsal kink: a simple surgical correction. Br J Ophthalmol. 1987; 71:204–206.
10.1136/bjo.71.3.204 Crossref Medline, Google Scholar - 11.Bosniak SL, Hornblass A, Smith B. Re-examining the tarsal kink syndrome: considerations of its etiology and treatment. Ophthalmic Surg. 1985; 16:437–440. Link, Google Scholar
- 12.Biglan AW, Bueger GF. Congenital horizontal tarsal kink. Am J Ophthalmol. 1980; 89:522–524. Crossref Medline, Google Scholar
