Entropion: In-Turned Eyelid.

Entropion is a condition where the eyelid turns inward so that  lashes and skin rub on the eye. This causes sensitivity to light and wind, excessive tearing and irritation. Chronic entropion can result in corneal irritation and abrasion or ulcers, leading to infection.

The condition is primarily the result of ageing and the weakening of eyelid muscles and tendons. It can also occur from trauma and scarring.

The eye can be protected by taping down the lower lid and using lubricating drops and ointments prior to surgery. Treatment involves surgically tightening the eyelid and its attachments. Sometimes this can be done without incisions with two or three strategically placed sutures - this is known as the Quickert procedure.

Entropion surgery is usually done as an outpatient procedure under local anesthesia, with a light oral or intraveneous sedation. You may wear a patch overnight and use an antibiotic ointment for about a week. Sutures are removed and any minor swelling or bruising subsides within two weeks.

"When the eyelid
turns inward, skin
and lashes rub
against the eye
causing irritation
and damage"