Abstract: Objective　To investigate the clinical effect of temporal palpebral plate fixation combined with shortening of the orbiculus in recurrent aged patients with lower eyelid varus.　Methods　We selected 28 cases (31 eyes) with recurrent lower eyelid turnover in the elderly who were admitted to our hospital from July 2014 to January 2017，aged 59~84 years (average 70.2 years). All patients were treated with temporary side eyelid plate fixation combined with shortening of the orbiculus muscle. The operative effect and recurrence rate 1，3，6 and 12 months after operation were observed respectively.　Results　One month after the operation, three eyes showed mild overcorrection. Three months after the operation, one eye returned to the normal shape, and two eyes still retained mild overcorrection. Six months after the operation, all eyes returned to the normal shape. There was no recurrence during the follow-up period of one year.　Conclusion  The treatment of recurrent lower palpebral varus in the elderly is reliable and stable with temporal palpebral plate fixation combined with shortening of the  orbiculus.

Key words: Recurrent lower eyelid turnover in the elderly;　Temporary side eyelid plate fixation, Shortening of the orbiculus muscle