Ectropion

Eyelid sags and turns outward, causing irritation, infections, and potentially corneal ulcers.

Types

  • -Involutional: Age-related changes, common after 60
  • -Cicatricial: Caused by skin scarring (burns, trauma, skin conditions)./li>
  • -Paralytic: Due to facial paralysis (e.g., Bell’s palsy).
  • -Mechanical: Caused by a mass pulling the eyelid outward.
  • - Congenital: Present since birth, rare.
  • - Post-blepharoplasty: Complex, varies by cause.
Entropion
Entropion

Causes

  • -Age-related changes
  • -Excessive squeezing or rubbing
  • -Eye infections
  • - Ocular trauma
  • - Epiblepharon
  • -Autoimmune conditions
  • Developmental anomalies

Signs

  • - Foreign body sensation
  • - Redness
  • - Irritation or soreness
  • - Watery eyes
  • Crusting
  • Mucous discharge

Symptoms

Blurred vision, light sensitivity, worsening redness, eye pain.

Diagnosis

Comprehensive eye exam by ophthalmologist including visual acuity, slit-lamp, corneal, eye pressure, and tear film tests.

Treatment

May involve conservative measures or surgery depending on severity and type.

Entropion surgery permanently corrects the abnormally in-turned eyelid position.

Before the Procedure

  • Discuss medications with your doctor; some may need to be stopped.
  • Notify specialists of any specific medications and follow their instructions on eating or drinking.

During the Procedure

  • Involves tightening and repositioning eyelid tissues.Lateral tarsal strip, lateral canthoplasty, inferior retractor plication- reattachment
  • Typically performed under local anaesthesia with sedation.
  • Takes about 45 minutes per eyelid; the patient spends half a day in the clinic.
  • - Scar tissue entropion may require a mucous membrane graft and general anaesthesia.

Post-Surgery Risks

  • Immediate correction for most patients.
  • Short-term discomfort may include bruising, swelling, bleeding, and infection.
  • Risks of further corneal injury, scar tissue, infection, or sight loss are eliminated once healed.

Aftercare

  • Eye covered with a patch or shield.
  • Mild discomfort, swelling, and bruising expected.
  • Use antibiotic ointment and cold compresses; avoid touching or rubbing eyes.
  • Avoid strenuous activities; attend follow-up appointments.

Conservative Entropion Treatment:

  • Temporary relief methods include artificial tears, soft contact lenses, lubricating eye drops, skin tape, quick everting eyelid stitches, and small BoNT injections.