Entropion Surgery

Entropion

Eyelid turns inward, causing friction and potential corneal damage.

Types

  • -Involutional: Age-related changes
  • -Acute Spastic: Muscle spasms or irritation.
  • -Cicatricial: Scarring on the eyelid's inner surface
  • -Congenital: Present since birth, rare.
Ectropion
Ectropion

Causes

  • -Age-related changes
  • -Excessive squeezing or rubbing
  • -Eye infections
  • -Ocular trauma
  • -Epiblepharon
  • -Autoimmune conditions
  • -Developmental anomalies
Ectropion

Signs

  • - Foreign body sensation
  • - Redness
  • - Irritation or soreness
  • - Watery eyes
  • - Crusting
  • - Mucous discharge

Diagnosis

Blurred vision, light sensitivity, worsening redness, eye pain.
Ectropion
Ectropion

Treatment

May involve conservative measures or surgery depending on severity and type.

Entropion surgery permanently corrects the abnormally in-turned eyelid position.
Ectropion

Before the Procedure:

  • - Discuss medications with your doctor; some may need to be stopped.
  • -Notify specialists of any specific medications and follow their instructions on eating or drinking.

During the Procedure:

  • Involves tightening and repositioning eyelid tissues.Lateral tarsal strip, lateral canthoplasty, inferior retractor plication- reattachment
  • Typically performed under local anaesthesia with sedation.
  • Takes about 45 minutes per eyelid; the patient spends half a day in the clinic.
  • - Scar tissue entropion may require a mucous membrane graft and general anaesthesia.
Ectropion
Ectropion

Post-Surgery Risks

  • Immediate correction for most patients.
  • Short-term discomfort may include bruising, swelling, bleeding, and infection.
  • - Risks of further corneal injury, scar tissue, infection, or sight loss are eliminated once healed.

Aftercare

  • Eye covered with a patch or shield.
  • Mild discomfort, swelling, and bruising expected.
  • Use antibiotic ointment and cold compresses; avoid touching or rubbing eyes.
  • Avoid strenuous activities; attend follow-up appointments.
Ectropion
Ectropion

Conservative Entropion Treatment

  • Temporary relief methods include artificial tears, soft contact lenses, lubricating eye drops, skin tape, quick everting eyelid stitches, and small BoNT injections.