refers to a condition in which your eyelid rotates inward. Your eyelashes rub
against your eye and cause redness, irritation, and abrasions on the cornea of
or eyelid retraction, develops slowly and may not be noticeable in its early
stages. Over time, however, the condition worsens until every movement of the
eye irritates the surface of the cornea. Without treatment, this continuous
abrasion can cause eye infections and scarring of the eyeball. With a serious
case, you can lose sight in the affected eye.
a common condition among the elderly. The lower eyelid is most often affected,
and it can occur in one or both eyes. Treatment involves a relatively simple
surgery that can be performed in the doctor’s office.
What Are the Symptoms of Entropion?
symptoms often develop slowly, starting out as just a mild eye irritation. As
the eyelid rolls inward, the eyelashes start to scratch your cornea. Over time,
repeated abrasion to your cornea can lead to:
of the cornea
What Causes Entropion?
has a number of causes. All of them involve the loosening of the muscles that
control the eyelids.
As you grow
older, your skin loses collagen, and your eyelid muscles grow slack. Loose
muscles and skin around the eyes can allow the edge of the eyelid to flip
be born with entropion. The condition is quite rare.
Chemical Burns or Surgeries
burns and surgeries can change the shape of the eyeball and allow the eyelid to
become loose and turn inward.
eyelids are one of the telltale symptoms of trachoma, a common eye disease
found in regions of Africa, Asia, and the Middle East. The disease is caused by
bacteria and is one of the most common sources of blindness in developing
countries. It is spread from person to person through shared washcloths or
towels. Flies can also transmit the infection between people. If you develop
eye problems and have recently traveled to an area where trachoma is present,
you should discuss your travels and eye problems with your doctor.
Herpes Zoster Ophthalmicus (HZO)
HZO is a herpes
infection of the eye that can result in many problems including entropion. The
virus, related to chickenpox and shingles, can lie dormant in the body for
decades and become active as shingles later in life. HZO is a severe and
painful condition that requires intensive treatment.
How Is Entropion Diagnosed?
generally easy to diagnose visually. Your doctor will ask about any possible
causes, such as previous eye injuries, diseases, or chemical exposure. Your
doctor may perform a snap test. This involves gently pinching the eyelid and
lifting it up to see how fast it snaps back into place. If you are losing
collagen and muscle tone, this test helps confirm the visual diagnosis.
How Is Entropion Treated?
often achieve short-term relief by gently pulling and taping the eyelid to the
outside of the eye. This creates tension that causes the eyelid to flip away
from the surface of the eye. Botox injections may be used to achieve the same
cases, surgery will be required to tighten the muscles around the eyelids.
Surgery can be performed in your doctor’s office using a local anesthetic. The
surgery involves placing stitches in the eyelid to tighten it and turn it back
surgery, your doctor may prescribe eye drops and use of an eye patch overnight
to protect the eye. You should notice improvement within a day or so.
What Is the Outlook for People with Entropion?
treatment, you should make a full recovery from entropion. Repeated surgeries
may be required in about 15 percent of cases as the patient ages and the eyelid
tissue continues to loosen.
Can Entropion Be Prevented?
that develops from aging is generally not preventable. But you can reduce your
risk by using eye protection when working around chemicals or other eye
If you are
planning to travel to parts of Africa or Southeast Asia where trachoma is
common, talk to your doctor about how to protect yourself from tropical