Entropion is a condition in which the eyelid is rolled inward toward the eye. It can occur as a result of advancing age and weakening of certain eyelid muscles. Entropion may also occur as a result of trauma, scarring, or previous surgeries. Entropion may also occur in children. This is discussed in more detail in the pediatric section.
A turned in eyelid rubs against the eye, making it red, irritated, painful, and sensitive to light and wind. If it is not treated the condition can lead to excessive tearing, mucous discharge and scratching or scarring of the cornea. A chronically turned in eyelid can result in acute sensitivity to light and may lead to eye infections, corneal abrasions, or corneal ulcers. If entropion exists, it is important to have a doctor repair the condition before permanent damage to the eye occurs.
There are a number of surgical techniques for successfully treating entropion. The most common surgical treatment involves tightening of the eyelid and its attachments to restore the lid to its normal position. The surgery to repair entropion is usually performed as an outpatient procedure under local anesthesia. Patients recovery quickly using an antibiotic ointment for about one week after surgery. Most patients experience immediate resolution of the problem following surgery.
A non-incisional entropion repair, uses sutures, may be performed as an in-office procedure under local anesthesia. This procedure requires several strategically placed sutures which evert the eyelid. The Quickert procedure is an excellent treatment for patients who are not suitable for surgery, or until more definitive surgery can be performed.
Who Should Perform The Surgery?
When choosing a surgeon to perform entropion surgery, look for a cosmetic and reconstructive facial surgeon who specializes in the eyelids, orbit, and tear drain system. Your surgeon’s membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) indicates he or she is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery.