❖ Congenital entropion: To the extent that any treatment is required, it consists of measured, semicircular resection of skin and orbicularis oculi muscle tissue that can be supplemented by everting sutures where indicated.
❖ Spastic entropion: Surgical management must be tailored to the specific situation. Usually treatment combines several techniques such as shortening the eyelid horizontally combined with weakening or diverting the pre-tarsal fibers of the orbicularis oculi muscle and shortening the skin vertically.
❖ Cicatricial entropion: The surgical management of this form is identical to that of spastic entropion.
An adhesive bandage may be applied to increase tension on the eyelid for temporary relief of symptoms prior to surgery.
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