Fig. 17. Transverse tarsotomy and lid margin rotation. A. Full-thickness incision of the tarsus approximately 2 mm inferior to the eyelid margin. B. Placement of horizontal mattress everting sutures from the inferior tarsus to exit the skin in the infralash position. C. Final everted eyelid position. (From Kersten RC, Kleiner FP, Kulwin DR: Tarsotomy for the treatment of cicatricial entropion with trichiasis. Arch Ophthalmol 110:714, 1992.)