Entropion

Eyelid Turning Inward (Entropion)

Entropion is an eyelid condition that occurs when the eyelid turns inward. Although it mostly affects the lower eyelids, it can also be seen in the upper eyelids. When the tissue turns inward, eyelashes rub against the transparent layer of the eye (cornea), which can cause corneal inflammation, pain, continuous tearing, and reduced vision.

Causes of Entropion

• Aging and loosening of the eyelid tendons

• Conditions causing spasms in the eyelids

• Inflammatory conditions that lead to adhesions on the inner surface of the eyelid

Symptoms of Entropion

• Foreign body sensation in the eyes, light sensitivity

• Redness

• Stinging, burning, tearing

• Pain and even blurred vision

Surgical Treatment for Entropion

The surgery is performed under local anesthesia in a hospital setting. The incision is made on the natural crease where the eyelid folds. The surgical procedure is tailored to the cause of the inward turning. In cases of tendon laxity, tightening procedures are performed. When spasms are the cause, the muscle responsible is removed. In cases with shrinkage of the eyelid’s inner surface, patch surgeries are applied. The operation usually lasts less than one hour, and patients are discharged on the same day.

Eyelid Turning Outward (Ectropion)

Ectropion is a condition in which the eyelid turns outward, usually affecting the lower eyelid. When this occurs, the normal drainage of tears from the eye to the nose is disrupted, leading to tear accumulation and overflow. This often forces patients to constantly wipe their eyes, which can irritate the eyelid skin. Long-term outward turning of the eyelid may cause physical changes and cellular alterations due to dryness.

Causes of Ectropion

• Aging and weakening of the eyelid tendons

• Mechanical damage caused by frequent wiping

• Traumas or masses on the outer surface of the eyelid causing pulling

Symptoms of Ectropion

• Excessive tearing due to tear accumulation

• Stinging, burning, redness

• Sensitivity to light

• Foreign body sensation

Surgical Treatment for Ectropion

The operation is performed under local anesthesia in a hospital setting. The incision is made on the natural crease of the eyelid. The surgical approach depends on the underlying cause. In tendon laxity, tightening procedures are applied. In cases where trauma or masses cause pulling on the eyelid, the underlying factor is surgically corrected. The procedure typically takes less than one hour, and patients can be discharged the same day.