Purpose: To present a modified transconjunctival approach for involutional entropion repair.
Methods: This study is a retrospective consecutive single surgeon case series using a transconjunctival approach for involutional lower lid entropion (ILLE) repair.
Results: Eleven eyes were operated for involution entropion with 9 cases of complete resolution. Two patients required further Jones' retractor plication.
Conclusion: Transconjunctival involutional lower lid entropion repair is a time-efficient, safe, and efficacious technique. The scar free technique described leads to full restoration of lower lid anatomy. In contrast to other reports we found a relatively low rate of recurrence on follow-up.