Entropion following the Cutler-Beard procedure.

Cicatricial entropion is one of several complications that may occur following the Cutler-Beard procedure in upper eyelid reconstruction. Three of ten eyelids developed this complication and were treated successfully. The incidence of entropion following this procedure should be decreased if a tarsal substitute is provided at the time of the initial operation. A composite graft from the nasal septum, a tarsoconjunctival flap from the opposing lower lid, preserved sclera, or autogenous ear cartilage are acceptable tarsal substitutes that can provide the necessary stability to the reconstructed eyelid.