Entropion of the upper lid has been treated by multiple surgical procedures. Among the best are variations of tarsal fracture and the free wedge tarsal transplant. Because of the importance of secondary corneal scarring, most of the literature on entropion of the upper eyelid refers to the central third of the lid.
Entropion of the temporal third of the upper eyelid can occur without central lid involvement. In temporal entropion the tarsus is unusually soft, bending beneath the lax overhanging skin. The lashes are turned down against the conjunctiva, often trapped beneath the margin of the lower lid.
The following modification of the wedge tarsal transplant has been successful in the correction of temporal entropion.
AMDUR J. Surgical Treatment of Temporal Entropion of the Upper Eyelid. Arch Ophthalmol. 1963;70(3):387-388. doi:10.1001/archopht.1963.00960050389022