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Surgical Correction for Pediatric Epiblepharon and Trichiasis

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Published on: July 8, 2025

Eyelid entropion.

Mario Genilhu Bomfim Pereira¹, Murilo Alves Rodrigues, Silvia Andrade Carvalho Rodrigues

¹Universidade Federal de Sao Paulo, Sao Paulo, Brazil.

Seminars in Ophthalmology

|July 2, 2010

Summary

Entropion, an inward-turning eyelid, can lead to vision loss if untreated. This review details common surgical techniques for correcting entropion, particularly the prevalent involutional type.

Area of Science:

Ophthalmology
Oculoplastics
Surgical Techniques

Background:

Entropion is an eyelid malposition where the lid margin turns inward, potentially causing severe ocular complications.
Untreated entropion can lead to symptoms such as ocular discomfort, corneal abrasion, and visual loss.
Involutional entropion, the most common form, is increasingly prevalent due to an aging population.

Purpose of the Study:

To review and describe common surgical techniques for entropion correction.
To provide an overview of treatment strategies for this eyelid malposition.

Main Methods:

Review of established surgical procedures for entropion repair.
Description of techniques including everting sutures (Quickert), Weis procedure, orbicularis transfer, tarsal strip, and lower lid retractor advancement.

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Main Results:

Multiple surgical options exist for entropion correction, catering to different types and severities.
Specific techniques like Quickert sutures, Weis procedure, and tarsal strip offer distinct approaches to lid margin eversion.

Conclusions:

Surgical intervention is crucial for managing entropion and preventing vision-threatening complications.
A range of surgical techniques are available, allowing for tailored treatment of entropion based on patient factors.