Aim-To report the occurrence of late onset, bilateral, idiopathic upper lid
entropion, occurring in three members of the same family, with a known fam
ily history.
Methods-Five family members were examined,, and a history taken, at Moorfie
lds Eye Hospital. Three patients were treated surgically, and one also had
a tarsoconjunctival biopsy.
Results-In all cases, no aetiology was found. The family history suggests a
n autosomal dominant inheritance pattern. All patients were treated with an
terior lamellar repositioning, and had optimal results.
Conclusion-The family reported seems to be affected by a familial. form of
primary acquired upper lid entropion, that shows an autosomal dominant inhe
ritance pattern.