Widened, hypertrophic, erythematous eyelid margins occasionally occur secondary to congenital anomalies or previous surgical procedures. When a fullthickness resection of the eyelid is not possible because of horizontal tightness of the lid, it is possible to excise a wedge of the eyelid margin itself. This procedure was successful in decreasing widened, hypertrophic, erythematous eyelid margins in three patients.
Putterman AM. Wedge Resection of Eyelid Margin in the Treatment of Abnormal Eyelid Margins. Arch Ophthalmol. 1995;113(11):1458-1459. doi:10.1001/archopht.1995.01100110118035