Cicatricial Entropion

  • Ralph E. Wesley
  • Kimberly A. Klippenstein


Cicatricial entropion must be differentiated from more common senile, or spastic entropion. Cicatricial entropion requires procedures to overcoming scarring contraction of the eyelid margin using full-thickness rotational surgery such as the Wies procedure or the Trabut procedure using only transconjunctival surgery without incising the orbicularis muscle. More advanced cases require directly incision scarred eyelids tissue with addition of grafts such as mucous membrane, hard palate mucosa, or amniotic membrane.


Cicatricial entropion Eyelid malposition Chemical burns Trachoma Trauma Conjunctival shrinkage Cicatricial pemphigoid Stevens-Johnson syndrome Wies procedure Trabut procedure 

Supplementary material

419986_5_En_24_MOESM1a_ESM.mp4 (97.7 mb)
Video 24.1a Trabut procedure (tarsal fracture/tarsotomy). Courtesy of Richard C. Allen, MD, PhD, FACS. Lower eyelid tarsotomy: (MP4 100042 kb)
419986_5_En_24_MOESM1b_ESM.mp4 (122.1 mb)
Video 24.1b Trabut procedure (tarsal fracture/tarsotomy). Courtesy of Richard C. Allen, MD, PhD, FACS. Upper eyelid tarsotomy: (MP4 100042 kb) (MP4 125019 kb)
419986_5_En_24_MOESM2_ESM.mp4 (158.6 mb)
Video 24.2 Mucous membrane graft for repair of upper lid cicatricial entropion. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 162447 kb)
419986_5_En_24_MOESM3_ESM.mp4 (85.6 mb)
Video 24.3 Harvesting of hard palate. Courtesy of Richard C. Allen, MD, PhD, FACS. (MP4 87651 kb)


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    Kersten RC, Kleiner FP, Kulwin DR. Tarsotomy for treatment of cicatricial entropion with trichiasis. Arch Ophtalmol. 1992;110:714.CrossRefGoogle Scholar
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    Martin RT, Nunery WR, Tanenbaum M. Ch 8. entropion, trichiasis and distichiasis. In: CD MC, Tannenbaum M, Nunery WR, editors. Oculoplastic surgery. 3rd Sub ed. Philadelphia: Lippincott Williams & Wilkins; 1995. p. 221–48.Google Scholar
  3. 3.
    Nerad JA. Ch 4. In: Oculoplastic surgery: the requisites in ophthalmology. St. Louis: Mosby; 2001. p. 92–103.Google Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Ralph E. Wesley
    • 1
  • Kimberly A. Klippenstein
    • 1
  1. 1.Vanderbilt Eye Institute, Tennessee OculoplasticsNashvilleUSA

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