Entropion

What is an entropion?

An entropion is where the lower eyelid turns inwards and the eyelashes rub against the eye. Both eyes are often affected.

What are the symptoms of an entropion?

• The conjunctiva and cornea can become sore due to the eyelashes rubbing against them.
• Watery eyes.
• Damaged cornea. A corneal ulcer may develop. The cornea is vital for vision and a damaged cornea may affect eyesight.

What is the cause of an entropion?

In the UK it mainly affects older people where the small muscles around the eyelid become weak. The eyelid stretches over time and flops inwards.

It may also be caused by any condition that causes scarring of the conjunctiva.

What is the treatment for an entropion?

The usual treatment is an operation to 'tighten' the skin and muscles around the eyelid. The surgery is usually with local anaesthetic and as a daycase.

Most patients experience immediate resolution of the problem once surgery is completed with little if any post-operative discomfort. Most cases will require subsequent removal of sutures located along the lower eyelashes or the lateral corner of the eyelid. Minor bruising or swelling may be expected and will likely resolve in one to two weeks following surgery.

More extensive plastic surgery may be needed in severe cases.

Whilst awaiting an operation you may be shown how to use sticky tape to help pull the eyelid downwards and prevent the eyelashes rubbing against the eye.