Facial nerve paralysis: an unrecognized cause of lower eyelid entropion in the pediatric population.

PURPOSE: To describe the association between entropion and pediatric facial nerve paralysis in the pediatric population. METHODS: A retrospective case series was collected from 5 pediatric patients who required surgical correction for symptomatic entropion with a history of facial nerve palsy. RESULTS: All 5 patients presented with epiphora and punctate keratopathy. Following surgical correction of the entropion, all ocular symptoms resolved. CONCLUSIONS: To the best of our knowledge, this is the first report linking facial nerve paralysis with entropion in the pediatric population. Ophthalmologists and pediatricians should consider this in the evaluation of children with craniofacial abnormalities and facial nerve paralysis.