Purpose: Although lower eyelid entropion can result from many conditions, obesity is not a generally recognized factor. We treated a case of recurrent severe entropion that was a result of morbid obesity in a patient with de Morsier's syndrome.
Methods: The patient underwent surgery on both lower eyelids.
Results: The entropion was corrected by advancing the lower eyelid retractors and debulking the subcutaneous tissue in the lower eyelids.
Conclusions: Mechanical entropion can occur as a rare complication of morbid obesity and may respond to surgical procedures that address its cause.