The surgical treatment of congenital tarsal kink syndrome associated with corneal ulcer.

The authors present a case of unilateral eyelid congenital tarsal kink associated with corneal ulcer. The tarsal kink was corrected by a horizontal tarsal incision, performed half the thickness of the tarsus along its entire horizontal extent. Terminal levator aponeurosis fibers were reattached to the tarsal incision line to create sufficient everting force for correction of the entropion. The tarsal kink disappeared and eyelid positions remained stable during a follow-up period of 2 years.