Treatment of the paradoxic inversion of the lashes in ectropion

Ectropion leads to chronic inflammation of the exposed conjunctiva. This inflammation can lead to shrinkage and to a cicatricial paradoxic inversion of the lashes. When the lid margin is surgically brought into its correct position, these lashes may become trichiatic. The surgical eversion of the lid margin at the time of the ectropion operation can prevent this complication.