Entropion

Inturning eyelids / Eyelids that turn in / Eyelashes rubbing against the eye


Lower eyelid entropion: Note the lower eyelid turns inwards so that the eyelashes rub against the eyeball

Lower eyelid entropion: Note the lower eyelid turns inwards so that the eyelashes rub against the eyeball





What is an Entropion?

The term entropion refers to when the edge of the eyelid rotates inwards towards the eyeball, often causing the eyelashes to rub against the eyeball

What causes an entropion?
In the UK, the commonest cause of entropion is due to ageing. Age related weakening of the various tendons, which normally stabilise the eyelid and keep the normal blinking action in check, allow the eyelid to rotate inwards resulting in entropion formation. Some conditions which cause scarring of the back surface of the eyelids and/ or weakening of the muscles of the eyelid can also lead to the eyelid turning inwards.


What are the signs and symptoms of an entropion?
The eyelid rubs against the eye causing irritation, redness, watering and blurred vision. Very rarely, if left untreated, the constant rubbing of the cornea may lead a sight threatening infection and ulceration of the cornea.


Treatment

Temporary Treatment
The lower eyelid can be pulled back into its normal position with a piece of tape placed between the eyelid and cheek. This is only a temporary measure for entropion of the lower eyelid, while awaiting surgery.
Sometimes an injection of botulinum toxin (Botox) may be used to help weaken the muscles on the front of the eyelid thus preventing the eyelid from turning inwards. This is similarly a temporary procedure and provides comfort whilst waiting for definitive surgery.

Long Term Treatment
The best option for treating entropion is by an operation. This usually involves correcting any laxity of the eyelid tendons to restore the eyelid back to its normal position. This operation is commonly performed quite comfortably as a day case procedure under local anaesthetic (using numbing injections).





Gallery
-Click image to start gallery (Warning: Pictures are quite graphic and may cause distress)

Lower lid entropion surgery
Left lower lid entropion
Everting sutures tighten up the lower tendon of the eyelid
Everting sutures tighten up the lower tendon of the eyelid
Everting sutures tighten up the lower tendon of the eyelid
The horizontal tendon is tightened too
The horizontal tendon is detached off, shortened and reattached.
Here a new shorter tendon has been refashioned.
This shortened tendon is reattached.
Outer wound closure.
After surgery.
Before surgery again
After surgery again