Long-Term Results for Entropion Repair by Tarsal Margin Rotation With Posterior Lamella Superadvancement

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To report the long-term stability of tarsal margin rotation and posterior lamellar superadvancement (TMR PLS) for the repair of upper eyelid cicatricial entropion.


A retrospective chart review was performed from January 2000 through December 2014 to identify all patients who had TMR PLS at the authors’ institution. Charts were reviewed for demographic information, recurrence of entropion or trichiasis, and surgical complications. Failure was defined as return of entropion. Patients with greater than 24 months of follow up were included.


A total of 30 TMR PLS procedures were performed during the review period. Nineteen cases from 14 patients were included in the final analysis. None of the 19 cases demonstrated recurrence of entropion over an average follow-up period of 78.3 months. Eight cases demonstrated trichiasis after TMR PLS, 5 of which required treatment.


This case series suggests that TMR PLS for the treatment of upper eyelid cicatricial entropion has excellent long-term stability.

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