Redirection of lower eyelid eyelashes by eyelid margin splitting and anterior lamellar repositioning for patients with non-entropion trichiasis

Objective: To report outcomes of a surgical technique of eyelid margin splitting and anterior lamellar repositioning with lower eyelid non-entropion trichiasis.Method: A total of 13 patients (5 males and 8 females) with lower eyelid non-entropion trichiasis who had undergone eyelid margin splitting and anterior lamellar repositioning at Tongji Hospital from January 2018 to June 2018 were retrospectively reviewed.Result: All patients underwent surgery successfully, and 13 patients (23 eyes) were followed up for 9-18 months (mean 12.23 +/- 3.14 months). Symptoms were entirely relieved in all patients without the need for further surgery, and all patients were satisfied with the appearance after surgery. The lower lid margin was a flat platform with normal anatomical landmarks, and the lower eyelid eyelashes were no longer in contact with the globe. However, one patient relapsed 7 months after surgery.Conclusion: Patients with lower eyelid non-entropion trichiasis can be treated effectively through eyelid margin splitting and anterior lamellar repositioning with inapparent skin scarring. (C) 2020 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.