Cicatricial entropionCicatricial entropion is in-turning of eyelashes due to scar or another adherence syndrome. Trauma or injury (especially chemical) may induce it, or it may be a result of infection or cicatrizing mucous membrane disease. Surgical repair of cicatricialCicatricial entropion entropionEyelid entropion is offered when the tissues are quiescent and entails everting the eyelid margin to restore proper eyelid position and to protect the ocular surface. This can be achieved through multiple approaches, with severe cases of cicatricial entropionEyelid entropion requiring a spacer graft to lengthen the scarred posterior lamella. The underlying cause of eyelid cicatrization can influence surgical decision making and potential systemic non-surgical treatment. In this chapter, the authors describe evaluation and management of cicatricial entropionCicatricial entropion.