Rate Raman Malhotra
Company logo          Enlarge view     Site map     Search

 

 

This web site uses cookies.
More information can be found here »
You can remove this notification by clicking here »

Inward-turning eyelid — entropion

 

The medical term used to describe rolling inward of the lower eyelid and eyelashes towards the eye is entropion. The skin of the eyelid and the eyelashes rub against the front of the eye — the cornea — and the mucous membrane that protects the eye (the conjunctiva). This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge, a feeling that something is in the eye, irritation of the cornea and impaired vision.

 

In most cases, entropion occurs because of age-related relaxation of the tissues of the eyelid. Some cases result from scarring of the inner surface of the eyelid caused by chemical and thermal burns, inflammatory diseases or allergic reactions. Occasionally, entropion can be present at birth if the eyelids do not form properly.


Entropion of the left eye, pre-surgery


Two weeks after surgery (entropion repair and lower blepharoplasty both eyes)


Left lower eyelid entropion before surgery, full view


A month after surgery, full view


A month after surgery, three-quarters view

 

Treatment

 

Entropion should be repaired surgically before the rubbing damages the cornea by causing infection and scarring. Before surgery, the eye can be protected by taping the lower eyelid down to the cheek and using lubricating drops and ointment. In some cases, stitches (sutures) can be placed through the lower eyelid as a temporary measure until more definitive surgery can be performed.

 

Surgery to repair entropion is usually performed under local anesthesia as a day case procedure. In most instances, Mr Malhotra will tighten the eyelid and its attachments, usually through a small incision at the outer corner of the eyelid, and will also re-attach the internal eyelid attachments, known as retractors.

 

What to expect

 

  • You will need to apply an antibiotic ointment to the eye for a week and to the incision line for about two weeks.
  • Any stitches that have not dissolved will be removed at your first return visit to Mr Malhotra.
  • You may have a tender, lumpy area at the outer corner of the lower eyelid for a few weeks.
  • After your eyelids heal, your eye should feel comfortable and you will no longer have the risk of corneal scarring or infection.

 

All procedures begin with a consultation. For full information about what to do before and after surgery, see Patient information.

 

Back to top

Credits


http://www.netsima.co.uk


Raman Malhotra site map


Home


About

Approach

The consultation

Academic role

Books

Courses

Lectures and presentations

Research papers

Publications

Fellowship programme

In the news


Conditions

Benign eyelid lump — Chalazion

Benign eyelid lump — Chalazion — Patient information

Cataracts

Cataracts — Patient information

Drooping upper eyelids — Ptosis

Drooping upper eyelids — Ptosis — Patient information

Excessive, involuntary blinking — Blepharospasm

Excessive, involuntary blinking — Blepharospasm — Patient information

Eye bags/heavy eyelids — Blepharoplasty

Eyelid skin cancer

Eyelid skin cancer — Patient information

Facial paralysis — Facial palsy

Facial paralysis — Facial palsy — Patient information

Inward-turning eyelid — Entropion

Inward-turning eyelid — Entropion — Patient information

Outward-turning lower eyelids — Ectropion

Outward-turning lower eyelids — Ectropion — Patient information

Thyroid eye disease

Thyroid eye disease — Patient information

Watery eye — Epiphora

Watery eye — Epiphora — Patient information


Procedures

Artificial eyes and orbital implants

Artificial eyes and orbital implants — Patient information

Asian eyelid surgery

Asian eyelid surgery — Patient information

Botox

Botox — Patient information

Brow lift

Brow lift — Patient information

Cataract removal and lens replacement

Chemical peel

Chemical peel — Patient information

DCR

Eyelid lift — Blepharoplasty

Eyelid lift — Blepharoplasty — Patient information

Fillers

Cheek and facial contouring

Cheek and facial contouring — Patient information

Lip filling and shaping

Lip filling and shaping — Patient information

Tear trough fillers

Tear trough fillers — Patient information

Upper eyelid contouring

Upper eyelid contouring — Patient information

Mohs surgery

Mohs surgery — Patient information

Ptosis surgery

Contact

9 Harley Street

The McIndoe Surgical Centre

The Queen Victoria Hospital

Spire Gatwick Park Hospital


Search


Site map


Terms of use


Credits