Modified tarsotomy for the treatment of severe cicatricial entropion

Purpose To analyze the efficacy of modified tarsotomy for the management of severe cicatricial entropion. Methods Twenty-seven eyelids of 18 patients who underwent modified tarsotomy between March 2011 and July 2013 were retrospectively assessed. The data collected included patient demographics, etiology of cicatricial entropion, and surgical history. Outcome measures included surgical success rate, preoperative and postoperative eyelid position, and surgery-related complications. Results Mean follow-up time was 13.2 months (range, 6-25.4 months), and the success rate was 81.8% (22 of 27 eyelids). Complications included eyelid margin notching (n = 1) and blepharoptosis secondary to avascular necrosis of the distal marginal fragment (n = 1), both were corrected by minor surgical intervention. Conclusions The study findings suggest modified tarsotomy is effective for the correction of severe cicatricial entropion.