title: The lower lid diamond:  a simple entropion repair to correct both horizontal and lower-lid retractor laxity.
abstract: OBJECTIVE
  To describe a simple technique for involutional entropion correction and to present the findings of a pilot study.
  
  
  METHODS
  Consecutive case series of 42 procedures. Patients presenting with involutional entropion in the absence of lateral canthal tendon laxity (lateral canthus could be distracted 1 cm or more medially) underwent a modified full-thickness eyelid shortening combined with retractor plication. Main outcome measures were correction of entropion and cosmesis of the surgical site at final follow up.
  
  
  RESULTS
  At final follow up, 92% of patients had a satisfactory eyelid position with no recurrence of entropion and a cosmetically satisfactory scar.
  
  
  CONCLUSIONS
  This is a useful technique with a higher success rate than everting sutures and is particularly suitable for patients for whom rapid surgery is needed or a lateral canthotomy is best avoided.
authors.affiliation: University Hospital Wales, Heath Park, Cardiff, Wales, UK. andy_robertsuk@yahoo.com
authors.forename: Michael A
authors.initials: MA
authors.lastname: Roberts
authors.forename: Paul
authors.initials: P
authors.lastname: Baddeley
authors.forename: Neil
authors.initials: N
authors.lastname: Sinclair
authors.forename: Carol M
authors.initials: CM
authors.lastname: Lane
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D019882:Blepharoplasty / Q000379:methods*; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D010865:Pilot Projects; D012008:Recurrence