Tarsoconjunctival Advancement: A Modified Surgical Technique to Correct Cicatricial Entropion and Metaplasia of the Marginal Tarsus

Abstract

Severe eye burns and mucocutaneous cicatricial disorders frequently cause upper and lower lid entropion with metaplasia of the tarsal conjunctiva, dislocation of the meibomian gland orifices, trichiasis, and tarsal scars near the lid margin. Between 1985 and 1993, 26 patients (29 eyes, 36 lids) were treated by excision of pathologic tissue and advancement of the tarsoconjunctival layer. The presented procedure is used mainly in cicatricial entropion with keratinization of the marginal tarsus.