title: Marginal Entropion: A Frequently Overlooked Eyelid Malposition.
abstract: OBJECTIVE
  To evaluate the clinical findings and outcomes of surgical treatment in patients with marginal entropion.
  
  
  METHODS
  Patients with impairment of the natural square-shaped eyelid margin morphology, anterior migration of mucocutaneous junction and mild lid inversion toward the ocular surface were diagnosed as having marginal entropion. Patients with shortened fornices, cicatricial changes or subconjunctival fibrosis were excluded. Demographic characteristics, ophthalmologic examination findings, surgical procedures and follow-up data were evaluated retrospectively.
  
  
  RESULTS
  Twelve eyes of 11 patients were included in the study. Median age was 73 years (range, 49-84 years). All cases presented with signs of meibomianitis and were treated preoperatively with oral doxycycline and topical corticosteroids. Tarsal fracture procedure was performed for correction of lid malposition. In all patients, lid malposition was corrected and ocular irritation findings had regressed. No recurrences were observed in the follow-up period of mean 10 months (range, 5-16 months).
  
  
  CONCLUSIONS
  Marginal entropion is a common malposition that is frequently misdiagnosed as trichiasis and is overlooked. Complications secondary to misdiagnosis can be avoided and a normal lid position achieved when the correct diagnosis is made.
authors: Gaziemir Nevvar Salih İşgören Government Hospital, Clinic of Ophthalmology, İzmir, Turkey.
authors: Mustafa
authors: M
authors: Erdoğan
authors: Katip Çelebi University Faculty of Medicine, Department of Ophthalmology, İzmir, Turkey.
authors: Şeyda
authors: Ş
authors: Karadeniz Uğurlu
keywords: Entropion; eyelid surgery; meibomianitis; trichiasis