Entropion is a condition in which characterized by inward folding of eyelid of eye this Condition called Entropion

Types

  • Spastic:
    spasm of orbicularis oculi muscle.
  • Cicatricial:
    It occurs due to:
  • Burn
  • Operations
  • Trachoma (stage IV)
  • Ulcerative blephritis.

Etiology/Risk Factors

  • Muscle weakness
  • Eye infection
  • Previous surgeries
  • Scar formation
  • Inflammation
  • Spasm
  • Scarring
  • Congenital
  • Older age
  • Previous burns
  • Trachoma infection
  • Previous injury

Signs and Symptoms

  • Epiphora
  • Eye irritation
  • Eye redness
  • Sensitivity to light and wind
  • Pain around the eye
  • Decreased or impaired vision
  • Excessive tearing
  • Sagging skin around the eye.

Diagnostic Evaluation

  • History collection
  • Physical examination
  • Routine eye exam
  • Snap test: In this test the eyelid is pinch gently and lifting up. Then observe the speed of getting back snap in to place.

Management


Medical management on temporary basis:

  • Injection of botulinum toxin in laser lid.
  • Soft contact lenses
  • Application of transparent skin tape on eyelid.

Surgery

• This is done to tight the muscles near the affected eyelid.

  • Administer an antibiotic ointment in atleast post operative management
  • Apply cold compresses to decrease swelling.

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