OPHTHALMIC CONDITIONS
Entropion
Inward turn of the eyelid
What exactly is entropion and what are the main causes of its occurrence?
Entropion is a strange pathological condition where the eyelid turns inward, causing irritation, and it can significantly threaten vision. This phenomenon can occur in both the upper and lower eyelids, though it is more commonly observed in the lower eyelid.
Entropion may develop with aging, as changes and alterations occur in the eyelid tissues over time. Other causes include previous ocular trauma, chemical burns, or inflammatory disorders of the conjunctiva.
If left uncontrolled without treatment, entropion can lead to painful ulcer on the front part of the eye, potentially causing significant vision loss. Entropion is classified into senile, spastic, and cicatricial, with the senile type being the most common, primarily observed in the elderly.
What are the main symptoms of entropion?
The main clinical signs of entropion include the following:
Tearing
Redness and irritation of the eye
Sensation of a foreign body
Blurred vision
Inward rotation of the eyelid margins
Purulent and mucous discharge
Sensitivity to light
How can entropion be effectively treated?
Undoubtedly, the ideal treatment approach for entropion is surgical intervention. The surgery involves tightening the edge of the eyelid and restoration – reset it to its normal position. This surgical procedure is performed with local anesthesia, injected into the eyelid and is conducted through a small incision at the outer corner of the eyelid.
After the surgery, the eye is usually kept closed for 24 hours to reduce swelling. The patient uses antibiotic ointment for 1 – 2 weeks. A postoperative follow – up examination is necessary to check the position of the eyelid and to remove any remaining sutures.
More complex cases of high difficulty, certainly require a more intricate surgical approach. It is worth mentioning that in some specific types of entropion, a tissue graft from the mouth may be necessary.
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