Entropion Repair

Entropion is the medical term used to describe a condition where the lower eyelid and eyelashes turn or roll inward toward the eye. This causes the eyelid and lashes to constantly rub against the cornea (the front part of the eye) and conjunctiva (the mucous membrane that protects the eye).

Usually due to a relaxation of the tissues of the eyelid as a result of aging changes,entropion is most often seen in elderly people. A stretching of the structures supporting the lower eyelid typically develops, permitting the lower eyelid to turn inward.

Entropion may also be caused by inflammation or scarring on the inner surface of the eyelid, eyelid injuries, or tumors. Occasionally entropion is present at birth (congenital) if the eyelids do not form normally. The condition can cause chronic irritation to the eyelid and the eye, resulting in excessive tearing, crusting of the eyelid and mucus discharge, irritation of the cornea, impaired vision, and a constant feeling that a particle is lodged in the eye. Damage to the cornea (the clear part of the eye that allows light to enter the eye), including infection and scarring, may develop due to the chronically turned in eyelid. These are important reasons for having this condition repaired before permanent damage occurs.

The usual management for entropion involves tightening of the eyelid and its attachments to restore some of its elasticity and to reposition it normally. There are a number of surgical techniques for successfully managing an entropion and Dr. Levin will discuss  his preferred method with you.