Entropion
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What Is Entropion?
Entropion is a medical condition in which the eyelid folds inward. It usually involves the lower eyelids and can be very uncomfortable, as the eyelashes constantly rub against the cornea. This condition can be unilateral or bilateral, and the upper lids can be involved as well. Entropion is typically caused by muscle weakening that occurs with aging, but genetics, infection, and injury can also result in this condition. In addition, trachoma infection may cause scarring of the inner eyelid and lead to entropion. This condition is most common in people over 60 years of age.
Four Basic Anatomic Conditions Which May Possibly Lead To Entropion
While entropion is thought to be related to muscle weakening, genetics, infection, and injury, there are certain conditions that make it more likely. The conditions that can lead to entropion include horizontal lid laxity, disinsertion or attenuation of retractors, preseptal orbicularis overriding the pretarsal orbicularis muscle, and/or enophthalmos.
Forms of Entropion
Congenital
Congenital entropion is somewhat rare, and is sometimes caused by abnormal lower lid retractors or a kinked tarsal plate. This is treated by removing skin and the orbicularis muscle below the eyelid margin. This condition is sometimes confused with epiblepharon, in which the eyelid muscle and skin fold over the eyelid margin causes eyelashes to turn inward and upward. Epiblepharon is typically present at birth and is common in children of Asian, Hispanic, or Native American descent.
Acute Spastic
A subcategory of entropion is called acute spastic entropion. This occurs because of ocular inflammation and irritation and is usually not chronic.
Involutional Entropion
Involutional entropion is caused by aging and weakened eye muscles. It is a common condition and is marked by inward-turning eyelids, conjunctival irritation, and corneal damage. If left untreated, it can lead to corneal disease. Treatment can involve thermal cautery, re-attachment of lower eyelid retractors, lid splitting and marginal rotation, orbicularis muscle tightening procedures, horizontal lid shortening, and/or tarsal strip.
Seeking Treatment Is Vital
At Idaho Eyelid and Facial Plastic Surgery, our physicians have addressed entropion for many of our patients. Since it causes discomfort and can lead to other more significant conditions, it should not be ignored. We have experienced medical professionals who will be able to recommend and execute the proper treatment options.
Pre/Post Photos
Etiologic/Cicatricial Entropions
Conditions and causes of entropion includes trauma, inflammation, pemphigus, pemphigoid, Stevens-Johnson syndrome, and/or trachoma. Treatment methods vary and include contact lenses, epilation, lubrication, mucous membrane graft, and/or scleral grafts.
Find Out More
To learn more about treatment options for entropion in Boise, contact our office and schedule a consultation with Idaho Eyelid and Facial Plastic Surgery. Our board-certified facial plastic surgeons will ensure that high-quality results are achieved.
