The patient, 80 years old, has suffered many years from trachoma and its following ills, among others senile entropion of the lower lid. The ptosis, the entropion and the corneal disturbance of the left eye is of very old standing, but the right entropion of the lower lid was of recent origin and was causing such corneal opacity that the patient's ability to get about was very much curtailed; she, therefore, asked for relief.
Entropion of this character has to do with the entire folding in of the lid and not to the contraction of the cartilage, and is not uncommon in elderly people not suffering from some other disease. It often seems to be due to a lack of tone in the muscles and skin about the eyes. She was not very hopeful, as one operation on the left lid proved a failure, but was anxious that something be done because of the severe pain and rapidly failing vision.