Abstract: Objective To investigate the efficacy of surgical treatment on entropion combined with exophthalmos in children． Design Retrospective case series． Participants 14 eyes of 8 children with entropion due to exophthalmos were analyzed retrospectively, who were 1.2-8.3 years old, in Beijing Children’s Hospital. Methods The surgical treatment was the lower lid retractor recession combined meibomian internal fixation suture. The follow-up time was 6 to 12 months. Main Outcome Measures The margin reflex distances 2 (MRD2) was measured and the effect after surgery was observed． Results In 8 cases, the symptoms of shyness and tears were relieved, the eyelids closed well, the lower eyelid margin did not show obvious entropion and trichiasis, and the corneal epithelium was repaired after surgery. There was significant difference in MRD2 before and after operation, which were 6.3±0.5 mm and 4.3±0.8 mm in average (t=7.772, P<0.01). Conclusion This small sample size retrospective study shows that the lower lid retractor recession combined meibomian internal fixation suture fundamentally solves the problems of eyelid tension, lower eyelid retraction, entropion and trichiasis caused by exophthalmos, reduces the recurrence of operation, and achieves satisfactory results. (Ophthalmol CHN, 2021, 30: 47-50)

Key words: exophthalmos, lower eyelid retraction, entropion, surgery, children.