·AIM:To investigate and compare the effect of three different surgical methods for treatment of senile inferior entropion,including excision of skin and orbicularis oculi,shorting of orbicularis oculi(wheeler surgery)and modified correction for senile entropion.·METHODS:Clinical data of patients with senile inferior entropion between January 2000 and December 2007 in our department were reviewed retrospectively.The therapeutic effect,recurrence rate and complications of the three surgical methods were analyzed and compared.·RESULTS:The cure rates of skin and orbicularis oculi excision group,wheeler surgery group and modified orthopaedics group were 86.2%,94.1%,97.1% respec-tively,and the recurrence rates were 17.2%,8.8%,1.4% respectively.6 cases treated by wheeler surgery had complications of dissymmetrical eyes appearance or lacrimal puncticulum shifting after surgery.·CONCLUSION:For the treatment of senile inferior entropion,excision of skin and orbicularis oculi may have higher recurrence rate,and wheeler surgery may induce complications of dissymmetrical eyes appearance,while modified orthopaedics is safe and feasible,negative for recurrence,and also effective for recurring entropion.·