Entropion Surgery

  • Definition:
  • Eyelid turns inward, causing friction and potential corneal damage.

Types

  • Involutional: Age-related changes..
  • Acute Spastic: Muscle spasms or irritation.
  • Cicatricial: Scarring on the eyelid's inner surface.
  • Congenital: Present since birth, rare.use.

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
    • Epiblepharon
    • 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.