Obesity as a cause of mechanical entropion.

OBJECTIVE

Although lower eyelid entropion can result from many conditions, obesity is not a generally recognized factor. We treated a case of recurrent severe entropion that was a result of morbid obesity in a patient with de Morsier's syndrome.

METHODS

The patient underwent surgery on both lower eyelids.

RESULTS

The entropion was corrected by advancing the lower eyelid retractors and debulking the subcutaneous tissue in the lower eyelids.

CONCLUSIONS

Mechanical entropion can occur as a rare complication of morbid obesity and may respond to surgical procedures that address its cause.