Entropion is a condition where the eyelid turns inward, causing the eyelashes and skin to rub against the surface of the eye. This constant friction can be very uncomfortable and, if left untreated, may harm the eye.
Symptoms
- Eye redness or irritation
- Watery eyes (tearing) or discharge
- Sensitivity to light
- A gritty feeling, like something is stuck in the eye
- Pain or blurry vision
Without treatment, entropion can scratch the cornea (the clear front part of the eye) and lead to long-term vision problems.
Causes
Entropion most often develops with aging, as eyelid muscles and supporting tissues loosen. Other causes include:
- Weak facial muscles
- Eyelid spasms or frequent forceful blinking
- Scarring from injuries, previous surgeries, or infections
- Neurological or inflammatory conditions
Treatment Options
Temporary relief may include:
- Lubricating eye drops or ointments
- Taping the eyelid in place
- Botulinum toxin injections (in selected cases)
Surgical repair is the most effective treatment. Surgery is usually done as an outpatient procedure under local anesthesia (sometimes with mild sedation). The surgeon tightens and repositions the eyelid to restore it to a normal position. Most patients experience quick relief and only mild discomfort after surgery.
Risks
All surgeries carry some risks, though they are generally low. Possible risks include:
- Temporary bruising or swelling (1–2 weeks)
- Rare bleeding or infection
- Eyelid position changes or the need for further treatment
Summary
Entropion can cause irritation, tearing, and even damage to the eye. Fortunately, surgical repair is highly effective and restores both comfort and protection to the eye. An oculoplastic surgeon can guide you through the best treatment plan for your situation.
