Although the WHO document WHO/PBL/93.29 recommends the bilamellar tarsal rotation operation for trachomatous entropion, we will describe another operation that has proved to be very reliable. It is a combined method, consisting of the modified tarsal wedge resection and the eversion splinting–grey line incision. A possible additional correction of the grey line incision on the first postoperative day improves the results. A total of 708 eyes with moderate trachomatous entropion and major trichiasis underwent this surgery, but only 508 of these were followed up during a 6-month period. The rate of failed operations, which consisted of incomplete closure of the lids or more than two inverted lashes remaining, was 6.9%.

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Kemp EG, Collin JRO: Surgical management of upper lid entropion. Br J Ophthalmol 1986;70:575–579.
Reacher MH, Huber MJE, Canagaratnam R, Alghassany A: A trial of surgery for trichiasis of the upper lid from trachoma. Br J Ophthalmol 1990;74:109–113.
Collin JRO: A Manual of Systematic Eyelid Surgery. London, Churchill-Livingstone, 1983, pp 16–27.
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Halasa A, Jarudi N: Tarsotomy for the correction of cicatricial entropion. Arch Ophthalmol 1974;6:837–840.
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