Blepharoplasty & Entropion Correction

Entropion vs. Ectropion: What’s the Difference?

While entropion describes an eyelid turning inward, ectropion refers to an eyelid that turns outward, away from the eye. Both conditions can affect vision and comfort, requiring specialized care.

Who is Affected by Entropion?

Entropion most commonly affects individuals over the age of 60. It is often due to the loosening of eyelid muscles and tissue with age, making the eyelid more likely to turn inward. Those who have had previous eye injuries, infections, or surgeries may also be more susceptible to developing entropion.

How Common is Entropion?

According to global research, about 2.1% of individuals over 60 experience entropion. At Visualis Eye Clinic, we see entropion cases regularly and provide effective treatments to alleviate discomfort and protect eye health.

How Serious is Entropion?

Prompt treatment of entropion is essential to avoid possible complications, such as:

• Eye infections
• Corneal abrasions (scratches)
• Potential vision loss due to corneal damage

Symptoms and Causes

What are the Symptoms of Entropion?

Entropion often causes noticeable symptoms, which may initially be occasional but tend to become constant over time. Symptoms include:

• A sensation of something in the eye
• Red, irritated eyes
• Tearing or watery eyes
• Blurred vision
• Pain or discomfort in the eye
• Itching and sensitivity to light or wind
• Crusting or drainage around the eye

What Causes Entropion?

Entropion is often caused by the loosening of the lower eyelid (known as laxity), which tends to happen with age. Other causes include scarring from previous injuries or surgeries, eye infections, and natural weakening of eyelid support structures over time.

What are the Risk Factors?

The primary risk factor for entropion is aging. However, individuals with a history of eye injury, infection, or surgery may also have an increased risk due to the potential development of scar tissue on the eyelid.

Diagnosis and Tests

How is Entropion Diagnosed?

At Visualis Eye Clinic, entropion is typically diagnosed during a standard eye examination, where our ophthalmologists assess eyelid structure and movement. Additional tests are usually unnecessary, as the condition is visually apparent.

Management and Treatment

How is Entropion Treated?

Several treatments are available for managing entropion, ranging from short-term relief to permanent surgical correction:

• Lubricating Eye Drops: Artificial tears and lubricating ointments help keep the eyes moist, reducing discomfort. However, these are typically temporary solutions.

• Soft Contact Lenses: Soft contact lenses may be recommended to protect the eye from irritation by acting as a bandage. These are available with or without a vision correction prescription.

• Tape or Stitches: For a temporary fix, medical tape may be used to reposition the eyelid. Alternatively, under local anesthesia, stitches may be applied to secure the eyelid in a better position. This approach often provides relief for several months.

• Botox®: Small doses of botulinum toxin (Botox®) can temporarily weaken eyelid muscles, reducing the inward turn. This is often an option for those unable to undergo surgery, though it requires reapplication every three to four months.

• Surgical Repair: Surgery offers a lasting solution by correcting the position of the eyelid. At Visualis Eye Clinic, we use advanced techniques under local anesthesia, enabling most patients to return home the same day.

Surgical Entropion Repair Techniques:

• Eyelid Tightening: This procedure involves shortening and tightening the eyelid (lateral tarsal strip) to prevent inward turning.

• Retractor Reinsertion: In cases where eyelid retractors (muscles) have loosened, this procedure repositions them to improve lid stability.

Is Entropion Surgery Necessary?

While non-surgical options can provide temporary relief, surgery is generally necessary to correct entropion fully. Surgical repair offers a permanent solution and is usually recommended for optimal, lasting results.

Are There Side Effects of Entropion Treatment?

Some temporary side effects, such as swelling and bruising, are common after entropion surgery and are part of the natural healing process. Cold compresses and medication can help manage these symptoms.

How Long Does Recovery Take?

Most individuals experience a complete recovery within two weeks following entropion surgery.

Prevention

Can Entropion Be Prevented?

Since entropion is often related to aging or previous eye injuries, it is difficult to prevent entirely. However, you can reduce the risk of trauma-induced entropion by wearing protective eyewear during activities that could result in eye injury.

Outlook and Prognosis

What Can I Expect with Entropion?

With timely treatment, most individuals achieve relief from symptoms and avoid serious eye damage. Surgical correction is highly effective, and recurrence is rare. At Visualis Eye Clinic, our team ensures that all patients receive the highest standard of care for optimal outcomes.

Living With Entropion

When Should I Contact My Healthcare Provider?

If you experience inward-turning of your eyelid or feel a constant foreign body sensation in your eye, seek medical attention. Even without visible symptoms, ongoing irritation or tearing warrants an evaluation to prevent potential complications.

Important Questions for Your Eye Specialist

If you suspect you have entropion, consider asking your healthcare provider:

• What complications should I watch for?
• Are there activities I should avoid during recovery?
• When should I schedule a follow-up visit?

Reach Out to Visualis Eye Clinic

If you have ongoing discomfort, redness, or other symptoms associated with entropion, consult our specialists at Visualis Eye Clinic in Valencia Town, Lahore. Our team provides comprehensive diagnostics and personalized treatment plans, ensuring your eye health and comfort are preserved.