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Involutional Entropion: Demographics, Presenting Findings, Surgical Management
Philip L Custer1, Julia B Huecker2
1John F. Hardesty, MD, Department of Ophthalmology and Visual Sciences.
Ophthalmic Plastic and Reconstructive Surgery
|January 13, 2026
Summary
Involutional entropion is more common in older males and on the right side, often linked to orbital anatomy. Surgical repair using a lateral tarsal strip is effective with few complications.
Area of Science:
- Ophthalmology
- Oculoplastics
Background:
- Involutional entropion is a common eyelid malposition.
- Understanding its demographic and anatomic associations is crucial for effective management.
Purpose of the Study:
- To explore demographics, presentation, and anatomic features of involutional entropion.
- To present surgical techniques and outcomes for involutional entropion repair.
Main Methods:
- Retrospective chart and photographic review of patients treated between 2005 and 2024.
- Analysis of 405 patients without prior surgery for demographic and anatomic factors.
- Review of 519 surgical procedures (612 eyelids) for technique and outcomes.
Main Results:
- Incidence increases with age; males and right-sided entropion were more frequent.
- Associated factors included ipsilateral larger/inferior orbit and retractor laxity.
- Lateral tarsal strip with posterior retractor attachment was the primary technique; recurrence was 1.3%.
Conclusions:
- Age, male sex, and right-sided prevalence characterize involutional entropion.
- Orbital and eyelid laxity are key predisposing anatomic factors.
- Surgical repair with lateral tarsal strip and retractor attachment is highly effective and safe.
