Entropion

What is entropion?

Normally the upper and lower eyelids rest comfortably against the surface of the eye. They help to protect the surface of the eye and keep it moist and lubricated. Entropion happens when the eyelid (usually the lower eyelid) rolls in towards the eye. The edge of the eyelid and the eyelashes can rub against the surface of the eye and irritate it. If not treated, entropion can lead to long-term tearing problems and scarring of the surface of the eye.

What is the cause?

Entropion may be caused by:

• Eyelid tissues that become too loose and cause the lower eyelid to roll in. Eyelid tissues usually get looser as you get older.
• Scarring of the inner surface of the eyelid that pulls on the edge of the eyelid and causes it to roll inward. Scarring can be caused by injury, surgery, or irritation from eyedrops.
• Irritation of the eye that causes the muscles of the eyelid to squeeze tightly closed. This can cause the edge of the eyelid to roll in against the eye.

What are the symptoms?

Symptoms of entropion include:

• gritty feeling or sharp pain
• watery eyes
• decreased or cloudy vision
• discharge
• redness of the eyes

How is it diagnosed?

Your eye care provider will ask about your symptoms, examine your eyes, and do tests such as:

• an exam using a special microscope (a slit lamp) to look closely at your eye
• photographs to document the appearance of your eyelids and to help in your follow up care

How is it treated?

If you have mild entropion with few symptoms your healthcare provider may recommend treatment with artificial tear drops and ointment to keep your eye comfortable. Special skin tape can help pull the edge of your lid and eyelashes away from the surface of your eye. Place one end of the tape just below your eyelid in the middle. Pull down gently so that the eyelid is in a normal position. Then attach the other end of the tape to your cheek. Your healthcare provider can show you how to apply the tape. These treatments make your eye feel better, but do not correct the problem.

If it is caused by a spasm, ectropion may be treated with BOTOX injections in the eyelid.

For more severe entropion your healthcare provider may put stitches in the eyelid to try to keep it from rolling in against your eye or may recommend surgery to tighten the eyelid. Your healthcare provider may also recommend the removal of several eyelashes to prevent them from irritating the cornea. This can be done with special tweezers, heat treatment or laser treatment.

How long will the effects last?

Entropion does not go away by itself. If entropion is not treated, your eyelid and eye may get more irritated. It can lead to a corneal abrasion or an ulcer. Sometimes, entropion will come back after surgery, and you may need to have more than one surgery.

How can I take care of myself?

• Follow your treatment plan.
• Keep all appointments for provider visits or tests.

How can I prevent entropion?

Entropion cannot be prevented. However, regular eye exams will allow your eye care provider to start treatment earlier.