Project Description

What Is Entropion?

Entropion is a condition in which the eyelid, most often the lower eyelid, turns inward toward the eye. This inward rotation causes the eyelashes and eyelid skin to rub against the surface of the eye, leading to discomfort, irritation, and potential damage to the cornea.

Causes

The most common cause of entropion is age-related weakening of the eyelid muscles and surrounding tissue, which leads to eyelid laxity. Other causes may include:

  • Scarring from trauma, infections, or previous eyelid surgeries

  • Inflammatory conditions affecting the eye or eyelid

  • Congenital malformation (present at birth)

  • Muscle or nerve disorders, such as Bell’s palsy

Symptoms

Patients with entropion may experience a range of symptoms, including:

  • Eye redness and irritation

  • Excessive tearing

  • Sensitivity to light

  • A sensation of something being in the eye (foreign body sensation)

  • Eye pain or discomfort

If left untreated, entropion can lead to serious complications such as corneal abrasions, infections, ulcers, or vision loss.

Diagnosis

Entropion is typically diagnosed during a clinical eye examination. The ophthalmologist will assess the position of the eyelid, look for signs of irritation or damage to the eye surface, and evaluate the strength and tone of the eyelid muscles.

Treatment Options

Treatment for entropion depends on its severity and underlying cause. Common options include:

  • Lubricating eye drops or ointments to reduce irritation and protect the cornea

  • Eyelid taping to temporarily reposition the eyelid

  • Botulinum toxin (Botox) injections to provide short-term relief in certain cases

  • Surgical correction, which is the most effective and permanent solution for moderate to severe entropion

Prompt diagnosis and appropriate treatment are essential to prevent long-term complications and preserve vision.