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What is entropion?
Entropion is the inward turning of the eyelid. It may occur intermittently or remain constant.
What are the symptoms of entropion?
This condition can be quite distressing to the patient as it leads to the eyelashes on the margin of the eyelid to rub against the surface of the eye. This may lead to redness, irritation, watering, gritty sensation in the eye, or abrasions on the cornea.
What causes entropion?
It is most commonly due to the aging process. Other causes include trauma, chemical injuries, inflammatory disorders of the conjunctiva and trachoma.
Is Entropion a serious condition? Can it affect the eyesight ?
If you have symptoms of entropion, you must seek medical advice. Without treatment, the continuous abrasion can cause eye infections and even scarring, which may affect the vision.
How is entropion treated?
The treatment will depend on the cause, but in most cases it is amenable to correction through a simple surgery. Other treatment methods include taping and Botulinum Toxin (Botox).
Can I do anything for temporary relief?
One can use lubricating eye drops and gel. Taping the eyelid as demonstrated by a qualified doctor can be done.
What does the surgery entail?
The procedure is usually performed under local anaesthetic. This means you will be awake during the operation but will have an injection into your eyelid to numb the area beforehand.
The surgery involves tightening and repositioning the affected tissues at the outer edge of the eyelid along with some stitches to stop the lid turning in, so that the eyelid rests in a normal position. Stitches/ glue may be used to close the wound at the end of the operation. A pad is often placed over the eye at the end of the operation.
What is the recovery time?
Each individual and each surgery is different.
Expect swelling and bruising around the eyes, which MAY increase in the first 24-48hrs, but then gradually decreases. Most of it resolves by 1 week, although complete resolution may take a few weeks. Patients usually feel comfortable doing household activities and working on the computer from the 3rd day onwards, and can resume social activities in a week to 10 days. If there are any stitches, they are removed in a week’s time.