AIM: To discuss the transposition of pedicled flap eyelashes for the treatment of complex cicatricial entropion.

METHODS: For severe cicatricial entropion in 68 patients(115 eye)with plenty of metaplastic or misdirected eyelashes, distichiasis, or previously had one or more times correction of trichiasis with recurrent later, transposition of pedicled flap eyelashes was taken; Follow-up was 6-32 months, an average of 23.3 months; The postoperative eyelid margin morphology and eyelashes were observed.

RESULTS: After treatment, two eyes within half a year, and three eyes half a year later had a few metaplastic or misdirected eyelashes(<6 root), which were cured by Electrolysis again. Others had good forms of upper eyelid palpebral margin, eyelashes were away from the eye's surface, without recurrence of trichiasis, and without complications; The cure rate reached up to 91.7%(55/60, 8 cases loss to follow-up after half a year).

CONCLUSION: Transposition of pedicled flap eyelashes on complex cicatricial entropion has better curative effect, and lower rates of recurrence.