Entropion is an inward turning of the eyelid margin and contact of the lashes against the cornea and can be classified as congenital or acquired. Congenital entropion rarely occurs as an isolated phenomenon but it is usually secondary to epiblepharon and epicanthus.
  The simple excision of the skin and orbicularis oculi muscle is not sufficient for correction of the entropion secondary to epiblepharon and epicanthus. It needs the skin-tarsal fixation and the epicanthoplasty. We use not only the excision of the skin and orbicularis oculi muscle but also skin-tarsal fixation and epicanthoplasty. The standard double fold making procedure can evert the eyelash in the upper eyelid but we fine that the routine double fold making procedure is not enough for complete correction of the entropion. The design of incision of author's method is 2-3mm lower than standard double fold making incision because it may bring more tension on the eyelash and can evert the eyelash completely and can cure entropion. We did epicanthoplasty, if needed, to correct epicanthal component of an epiblepharon and the epicanthus tarsalis because epicanthus or epiblepharon is also indirect cause of entropion. In the upper lid, an incision is made in the upper eyelid about 4-6mm above the ciliary margin in adult and about 3-4mm above ciliary margin in children. Excess skin with strip of orbicularis muscle is excised and tight skin-tarsal fixation was done with four buried sutures of 7-0 white nylon. Epicanthoplasty using Uchida method and Z-plasty is also performed. A similar method is used in the lower eyelid by incision at 2-3mm below the ciliary margin.
  21 patients underwent the correction of entropion secondary to epiblepharon by excess skin-muscle excision and skin-tarsal fixation from April of 1991 to January of 1995. 12 patients underwent epicanthoplasty. 15 patients had entropion of upper lid and 9 patients were adult. The follow-up period was from 3 months to 36 months. Almost all patient have satisfactory result but 2 cases of lower lid entropion have recurrence. We would like to say that our skin-tarsal fixation with epicanthoplasty technique can correct entropion completely and has better result than convetional technique.