Cicatricial entropion causing trachomatous trichiasis is the most common eyelid complication. The patient presents with symptoms of pain, irritation, and photophobia, progressing to chronic ocular surface disease, with sight-threatening consequences. Treatment options for trachomatous trichiasis include corrective lid surgery by tarsal fracture, with anterior rotation of the lid margin. In severe cases, posterior lamellar lengthening with mucous membrane grafting is advocated.