ENTROPION & ECTROPION

General Information

DEFINITION--Entropion is a disorder of the eyelid (usually the lower) in which it curls inward toward the eye. Ectropion is when the eyelid turns outward (inside out).

BODY PARTS INVOLVED--Eyelids.

SEX OR AGE MOST AFFECTED--Adults over 40.

SIGNS & SYMPTOMS

• Inflammation of the eye (swelling, redness, pain and excessive tears) caused when the inward-turning eyelid and lashes rub against the cornea.
• Turning out of the eyelid (usually the lower), causing an unattractive facial appearance.

CAUSES--

Several different factors may cause entropion:

• Relaxation of the eyelid's supporting tissue, coupled with the inward pull of the eyelid muscles.
• Chronic eye inflammation (including allergy), creating scar tissue in the eyelid.
• Weakening of the muscles and tissues that normally support the lid against the eye.
• Paralysis of the nerve that supplies the eyelid muscles.
• Contraction of scar tissue (from burns, wounds or surgery) near the eye.

RISK INCREASES WITH--Aging.

HOW TO PREVENT--Obtain prompt medical attention for any eye infection.

What To Expect

DIAGNOSTIC MEASURES--

• Your own observation of symptoms.
• Medical history and physical exam by a doctor.

APPROPRIATE HEALTH CARE

• Self-care after diagnosis.
• Doctor's treatment. Your doctor may attach a small strip of adhesive tape to the lower lid as a temporary measure before surgery.
• Minor surgery (usually) to correct the condition. (See Entropion and Ectropion Repair in Surgery section.)

POSSIBLE COMPLICATIONS

• Ulceration of the cornea from eyelash and eyelid irritation.
• Cornea damage caused by dryness.

PROBABLE OUTCOME--Usually curable with surgery.

How To Treat

GENERAL MEASURES--

• Apply warm compresses to the eyelids several times a day to relieve inflammation and discomfort. To prepare compresses: Pour warm water in a clean bowl. Soak a clean cloth in the water. Wring it out almost dry. Apply the warm, moist cloth to the closed eye for 10 to 15 minutes. Remoisten the cloth frequently.
• Wear protective glasses or goggles if you are exposed to wind or pollutants.

MEDICATION--Your doctor may prescribe:

• Artificial tears until surgery can be performed.
• Antibiotics if infection is present.

ACTIVITY--No restrictions.

DIET--No special diet.

Call Your Doctor If

• You have symptoms of entropion or ectropion.
• The following occurs after surgery: Eye pain, redness and photosensitivity. Your vision changes in any way.