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Entropion

What is Entropion?


Entropion is the medical term used to describe sagging and inward turning of the lower eyelid and eyelashes. The margin of the eyelid and the eyelashes invert (turn in).

This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge, irritation of the eye, chronic redness and corneal damage.

 

Pre Operation

Post Operation

 
Causes of Entropion

Most cases of entropion are due to relaxation of the tissues of the eyelid as a result of aging. Some cases result from scarring of the conjunctiva caused by chemical and thermal burns, trauma, conjunctival cancers, or previous eyelid surgery. Rarely entropion can be present at birth if the eyelids do not form properly.

 
Treatment Options

Entropion should be repaired surgically before the rubbing damages the cornea by causing infection and scarring. Prior to surgery, the eye can be protected by taping the lower lid down and using lubricating drops and ointment. In some cases, sutures can be placed through the lower eyelid until more definitive surgery can be performed. In rare instances a special injection
(BOTOXTM) may injected to bring the lid into its normal position.

 
Things to know about the Surgery and Care

The surgery to repair entropion is usually performed under local anesthesia . In most cases, your doctor will tighten the eyelid and its attachments. You may have a patch overnight and then will commonly use an antibiotic ointment for about a week. After your eyelids heal, your eye will feel comfortable and you will no longer have the risk of corneal scarring, infection, and loss of vision.