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Entropion/Ectropion (eyelid rolling in or out)

Quick Facts:
  • Entropion refers to the turning of the eyelid inward against the eye
  • Symptoms include redness, pain, and foreign body sensation
  • Failure to treat entropion can lead to infection, scarring, and permanent damage to the eye
  • Treatment is typically readily accomplished with a brief, straightforward outpatient procedure
  • The majority of bruising and swelling resolves within the first 2 weeks after most eyelid surgeries

Illustration of EntropionEntropion 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.

Entropion, a turned in eyelid, rubs against the eye, making it red, irritated, painful, and sensitive to light and wind. If the eyelid position 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, scratches, and even blindness due to scarring. If entropion exists, it is important to have a doctor repair the condition before permanent damage to the eye occurs.

The wet, inner, eyelid surface is exposed and visible. Normally, the upper and lower eyelids close tightly, protecting the eye from damage and preventing tear evaporation. If the edge of one eyelid turns outward, the two eyelids cannot meet properly and tears are not spread evenly over the eye. Symptoms may include excessive tearing, chronic irritation, redness, pain, a gritty feeling, crusting of the eyelid and mucous discharge.

Entropion can typically be repaired with a straightforward outpatient surgical procedure that takes less than 30 minutes. Most patients experience immediate resolution of the problem once surgery is completed with little, if any, post-operative discomfort. After the eyelid heals, the eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.

Recovery after surgery generally is associated with moderate swelling and bruising and minimal discomfort.  The majority of bruising and swelling resolves within the first 2 weeks after most eyelid surgeries.

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