ENTROPION REPAIR
Entropion is the medical term used to describe a condition where the eyelid and eyelashes turn or roll inward towards the eye. This causes the eyelid and lashes to constantly rub against the cornea (the front part of the eye) and conjunctiva (the mucous membrane that protects the eye). It primarily occurs in the lower lids but can occasionally occur in the upper lids.
CAUSES OF ENTROPION
Entropion is usually due to relaxation of the tissues of the eyelid as a result of the aging process. Thus, it is most often seen in elderly people. Entropion may also be caused by inflammation or scarring on the inner surface of the eyelid, eyelid injuries or tumors. If the eyelids are not formed properly, entropion can be present at birth (congenital entropion).
SYMPTOMS
Entropion can cause chronic irritation to the eyelid and the eye. This can result in excessive tearing, crusting of the eyelid and mucus discharge. It also causes a feeling that something is in the eye, irritation of the cornea, and impaired vision and damage to the cornea (the clear part of the eye). Infection and scarring may develop due to the persistent eyelid malposition. These are important reasons for having this condition repaired before permanent damage occurs to the eye.
TREATMENT
The usual management for entropion involves tightening of the eyelid and its attachments to restore some of its tone and return it to a normal position. Entropion seen in babies usually resolves spontaneously within a few months, but occasionally it needs to be treated. When other factors contribute to the presence of entropion, they may require special treatment. Medications are frequently used to control inflammation or infection. Scar excision and tissue grafts may also occasionally be necessary. While awaiting your scheduled surgery, using tape to keep the lid back in its normal position is helpful.