Abstract: Objective To evaluate the efficacy of the combined entropion repair for lower eyelid involutional entropion: lateral canthoplasty, excision the preseptal orbicularis oculi, and Quickert suture (LEQ). Design Retrospective case series. Participants Nineteen patients (23 eyes) with lower eyelid involutional entropion underwent the combined procedure in Beijing Tongren Eye Center. Method Surgical technique addressed all 3 anatomic factors underlying the entropion and was performed through a transcutaneous incision. Lateral canthoplasty procedure addressed horizontal eyelid laxity; Quickert suture addressed retractor disinsertion; and excision of a strip of the preseptal orbicularis oculi addressed preseptal orbicularis override. Morphology of eyelid, position of eyelid and epiphora were judged to evaluate the efficiency of this method. The follow-up time was 8~12 months. Main Outcome Measures Morphology of eyelid, position of eyelid, with or without epiphora. Results Transcutaneous LEQ entropion repair resulted in great resolution of involutional entropion in all cases without entropion recurrence or secondary ectropions. Only one case was found that the eyelid failed to contact with the eyeball closely, however, the patient didn’t feel any discomfort. Conclusion The LEQ is a simple and effective operation for the correction of involutional entropion.