title: Correction of lower eyelid marginal entropion by eyelid margin splitting and anterior lamellar repositioning.
abstract: OBJECTIVE
  There is a paucity of data in the literature on the surgical management of lower eyelid marginal entropion. In this study, the authors report outcomes of a surgical technique of eyelid margin splitting and anterior lamellar reposition in patients with lower eyelid marginal entropion.
  
  
  METHODS
  The medical records for 30 eyelids from 22 patients with lower eyelid marginal entropion who had undergone eyelid margin splitting and anterior lamellar repositioning at Seoul National University Hospital from January 2004 to December 2012 were retrospectively reviewed. Success was defined as the lack of any lash in contact with the globe, no need for a second procedure, the complete resolution of symptoms, and acceptable cosmesis at the final follow up.
  
  
  RESULTS
  The mean follow-up duration was 16.7 months. The split eyelid margin exhibited good wound healing in each case, but trichiasis recurred postoperatively in 3 of 30 eyelids, even though the eyelid margin was ultimately well positioned. That is, the overall success rate was 90%. Of the 3 eyelids with recurrent trichiasis, 2 required additional electrolysis to remove irritated cilia, but the other did not require to be treated. In the latter case, the trichiasis observed was fine, focal, and unaccompanied by symptoms or corneal lesions. There was no significant complication such as secondary ectropion or eyelid retraction.
  
  
  CONCLUSIONS
  Eyelid margin splitting and anterior lamellar repositioning achieve success with a low rate of complications among patients with lower eyelid marginal entropion.
authors.affiliation: *Department of Ophthalmology, Soonchunhyang University Cheonan Hospital, Cheonan; †Department of Ophthalmology, Kong Eye Hospital; ‡Department of Ophthalmology Seoul National University Hospital, Seoul; §Department of Ophthalmology, Hallym University Sacred Heart Hospital, Anyang; ‖Department of Ophthalmology, Seoul National University Bundang Hospital, Seongnam, Korea; and ¶Department of Ophthalmology, Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea.
authors.forename: Youn Joo
authors.initials: YJ
authors.lastname: Choi
authors.forename: Hyun Chul
authors.initials: HC
authors.lastname: Jin
authors.forename: Jeong Hoon
authors.initials: JH
authors.lastname: Choi
authors.forename: Min Joung
authors.initials: MJ
authors.lastname: Lee
authors.forename: Namju
authors.initials: N
authors.lastname: Kim
authors.forename: Ho-Kyung
authors.initials: HK
authors.lastname: Choung
authors.forename: Sang In
authors.initials: SI
authors.lastname: Khwarg
mesh_terms: D000328:Adult; D000368:Aged; D004774:Entropion / Q000601:surgery*; D005143:Eyelids / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006204:Hair Removal; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures; D012008:Recurrence; D016896:Treatment Outcome; D058457:Trichiasis / Q000175:diagnosis / Q000601:surgery; D014945:Wound Healing / Q000502:physiology