Fig. 15. Lower lid retractor repair for entropion. A. Lower lid retractor defect contributes to tarsal instability. Note the failure of attachment of the lower eyelid retractor to the inferior tarsal border. B to C. A skin-muscle flap is elevated and the orbital septum penetrated to identify the lower eyelid retractor. D to E. The lower eyelid retractor is attached to the inferior tarsal border with interrupted nonabsorbable sutures. F. Final skin closure.