There is no question in the writer's mind, and most ophthalmic plastic surgeons will agree, that Wheeler's1 method of correcting cicatricial ectropion by the use of free skin grafts and lid adhesions is unsurpassed by any other method. Almost without exception there is no place for the use of pedicle flaps, Gillies'2 "epithelial outlay," or Brown's3 modification of the latter, for this condition.
Correction of cicatricial ectropion by Wheeler's method will give great satisfaction to surgeon and patient if his technique is closely followed. It is not a difficult operation and can be performed by the average ophthalmic surgeon with good result.
The initial skin incision is made about 5 mm from the eyelid margin and parallel to it. This extends the length of the involved area. Badly scarred skin should be excised (Case 2). The skin should not be undermined toward the lid border, but usually
SHERMAN AE. The Wheeler Method for Correction of Cicatricial Ectropion. Arch Ophthalmol. 1964;71(2):211-214. doi:10.1001/archopht.1964.00970010227015