RETRACTOR PLICATION FOR LOWER LID ENTROPION IN OCULAR CICATRICIAL PEMPHIGOID

The surgical treatment of lower lid entropion in ocular cicatricial pe mphigoid has previously met with limited success and conventional tech niques have in some cases caused disease progression. We have treated lower lid entropion in this condition with retractor plication, avoidi ng surgery to the conjunctiva in five patients (seven eyelids) over th e past five years with successful correction of the condition and symp tomatic improvement in all patients. It has not led to an acute exacer bation of the condition in any patient and we recommend it as the proc edure of choice in the surgical management of entropion in this disord er.