ENTROPION (eyelid folds inward)
Entropion is a condition in which inward folding of eyelid of eye this is known as Entropian (eyelid folds inward)
Types
1- Spastic: Orbicularis oculi muscle spasm.
2- Cicatricial: It occurs due to: below reasons
- 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: pinch the eyelid and lifting up In this test
observe how much take time of getting back of eyelid
Management
Medical management on temporary basis:
- Injection of botulinum toxin in laser lid.
- Soft contact lenses
- Application of transparent skin tape on eyelid.
Surgery
Tight muscles of affected eyelid.
- Administer antibiotic ointment in after operative management
•Apply cold compresses to decrease swell