 An incision was made in the gray line nasally in the area of trichiasis and entropion, and the dissection was carried anterior to the tarsal plate and an elliptical piece of the anterior lamella was excised. 
An incision was made in the gray line nasally in the area of trichiasis and entropion , and the dissection was carried anterior to the tarsal plate and an elliptical piece of the anterior lamella was excised .