- Acute spastic E.
- Atonic E.
- Celsus-hotz E.
- Cibis E.
- Cicatricial E.
- Congenital E.
- Entropion cicatriceum.
- Entropion forceps.
- Entropion spasticum.
- Entropion uveae.
- Eyelid E.
- Hotz E.
- Involutional lower eyelid E.
- Involutional senile E.
- Marginal E.
- Noncicatricial E.
- Poulard E.
- Senescent E.
- Senile E.
- Spastic E.
- Uveal E.
- Conjunctivitis: This is an inflammation of your conjunctiva, the transparent layer that covers the white of your eye and lines your eyelids. Entropion can cause your conjunctiva to become red and inflamed, which may result in an infection.
- Keratitis: This is when your cornea becomes inflamed. Constant rubbing of your eyelashes and eyelid margin on your cornea can cause it to become irritated and sore. This can eventually lead to scarring, which could result in a loss of vision.
- Corneal ulceration: Corneal ulceration is when ulcers (sores) develop on your cornea, usually as a result of keratitis. It's a serious condition that can cause loss of sight. It's important to seek treatment from your GP immediately if you develop a red eye, a painful eye or it feels like something is in your eye.
- Eye redness.
- Sore eyes.
- Eye irritation.
- Corneal scratches.
- Corneal scarring.
- Acute spastic entropion usually occurs as a result of ocular irritation, which may be due to infectious, inflammatory, or traumatic (eg, surgical) processes.
- Involutional entropion usually is due to a constellation of problems.
- Cicatricial entropion occurs as a result of scarification of the palpebral conjunctiva, with consequent inward rotation of the eyelid margin.
- Scars or previous surgeries: Scarred skin from chemical burns, trauma, surgery or radiation can distort the normal curve of the eyelid, causing entropion.
- Skin diseases or infections: Previous skin infections or skin diseases, like ocular herpes, can result in entropion. Although rare in North America, an eye infection called trachoma is still common in North Africa and South Asia. Trachoma can cause scarring of the inner eyelid, leading to entropion and even blindness.
- Drug reactions: Rarely, adverse reactions to oral or topical (ointment) drugs, including some of the medications used to treat glaucoma, can cause a severe enough inflammation of the conjunctiva and skin of the lid to cause the tissues to scar and shrink, leading to entropion.
- Eye surgery: An eyelid problem called spastic entropion affects some people temporarily after eye surgery, usually lasting only until the eye is completely healed. In some cases, entropion persists after healing is complete. Spastic entropion also can result from infection, inflammation or trauma.
- Abnormal fetal development: Very rarely, entropion is present at birth (congenital). More often, a baby with turned-in eyelashes at birth has an extra fold of skin on the eyelid, called epiblepharon.
- Previous burns: If you've had a chemical burn on your face in the past, the resulting scar tissue may put you at higher risk of developing entropion.
- Trachoma infection: Because trachoma can scar the inner eyelids, people who have had the infection are more likely to develop entropion.
- Stitches that turn the eyelid outward: This procedure can be done in your doctor's office with local anesthesia. After numbing the eye, your doctor places two to three stitches in specific locations along your eyelid. The stitches turn the eyelid outward, and resulting scar tissue keeps it in position even after the stitches are removed. There's a high likelihood that your eyelid will turn itself back inward within several months of the stitching, however, so it isn't a long-term solution.
- Botulinum toxin (Botox): Small amounts of botulinum toxin injected in the lower eyelid can turn the eyelid out. You'll get a series of injections and the effects will last three to six months. This treatment can help if you have temporary spastic entropion immediately after another eye surgery, because the entropion will resolve itself before the effects of botulinum toxin wear off.
- Electrocautery - the use of electricity
- Laparoscopic surgery (Keyhole surgery) - surgery performed through a small opening into the body, rather than fully opening the body with a large incision.
- Laser surgery - the use of focused high-intensity laser light as a cutting blade.
- Microsurgery - the use of surgery through a microscope
- The specialist who performs surgery is usually a surgeon. Particular types of surgeons specialize in certain specialist types of surgery. However, some simple types of surgery may be performed by your general practitioner.
- Ocular lubricants: Topical ocular lubricants may be necessary to increase patient comfort and to diminish abrasive conjunctivopathy and keratopathy.
- Artificial tears: Preservative-free artificial tears are preferred to avoid preservative-associated ocular reactions.
- Immunosuppressive agents: These medications have been shown to effectively diminish the autoinflammatory reaction associated with ocular cicatricial pemphigoid.
- Dapsone (Avlosulfon): Bactericidal and bacteriostatic against mycobacteria; mechanism of action is similar to that of sulfonamides where competitive antagonists of PABA prevent formation of folic acid, inhibiting bacterial growth.
- Neuromuscular transmission blocking agents: Weakening or paralyzing the orbicularis muscle of the lower eyelid helps in preventing the inturning of the lower eyelid in cases of spastic and involutional entropion.
- Botulinum toxin type A (BOTOX®): Temporarily paralyzes the muscles by inhibiting acetylcholine release. Duration of effectiveness usually is 3-4 mo.
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