Entropion, the inward rotation of the eyelid toward the globe, can cause functional disabilities. Horizontal and vertical eyelid laxity and overriding of the preseptal orbicularis oculi muscle onto the pretarsal component are underlying causes of lower eyelid entropion. This video illustrates the pathogenesis, clinical features, and clinical tests used to diagnose lower eyelid entropion. The Jones procedure, first described in 1972, essentially reattaches the lower lid retractors to the tarsus. The video also describes the surgical steps of a modification of the Jones procedure to correct involutional entropion.

Financial Disclosure: Drs. Santosh Honavar, Mrittika Sen, and Shiva Talloju discloses no financial relationships.