Abstract
Horizontal stability of lower eyelid is provided by canthal tendons and vertical stability by lower lid retractors. Congenital or acquired (e.g., involutional) conditions result in weakness or instability in these structures and may lead to entropion. Hence re-establishing the stability can correct entropion and this can be done by various surgeries. The choice between trans-cutaneous approach and trans-conjunctival approach or between single procedure and combined procedure is primarily governed by the mechanism of entropion and surgeon’s choice. The whole discussion revolves around these key issues and within the scope of clinical practice.
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