Entropion Repair Surgery
or in-turning, of the eyelid can involve the upper or lower
eyelid. Symptoms occur due to the scratching of the eye by the
inwardly pointing eyelashes (trichiasis). Usually numerous
eyelashes are involved, and it is impractical to pull all of
them. This condition can occur due to generalized aging changing
in the eyelid with a gradual rotation inward. Other cases are
caused by scarring, either from trauma, infection, or an
inflammatory condition such as shingles of the eyelid.
Entropion can cause irritation to the eyelid and the eye. This
can result in excessive tearing, crusting of the eyelid and
mucus discharge, a feeling that something is in the eye,
irritation of the cornea and impaired vision. Damage to the
cornea (the clear part of the eye that allows light to enter the
eye), including infection and scarring, may develop due to the
chronically turned-in eyelid.
These are important reasons for having this condition repaired
before permanent damage occurs to the eye. The eyelids are meant
to protect the eyes and to preserve vision, and they are unable
to do so if there is entropion. The real concern for patients
with entropion is loss of transparency of the cornea and
subsequent loss of vision if the eyelid malposition is not
corrected in a timely fashion.
In the case of acute spastic entropion, the treatment is
directed to the provoking stimulus e.g. in growing eyelashes,
blepharitis, dry eye. Although a bandage contact lens or
botulinum toxin injections may improve symptoms temporarily,
these are rarely justified. The use of lower lid tape can be
advised for use in primary care while the patient is waiting to
be seen by an oculo-facial specialist.
While lubricating drops and ointments can provide temporary
relief, eyelid surgery is usually necessary. The entropion
repair procedure is usually performed as an outpatient (there is
usually no need for hospitalization). Local anesthesia, which
numbs the eyelid, is combining with light sedation so there is
little, if any, pain during or even after the procedure.
The entropion repair procedure usually is performed as an
outpatient (there is usually no need for hospitalization). Local
anesthesia, which numbs the eyelid, is combining with light
sedation so there is little, if any, pain during or even after
To effectively treat entropion requires a special understanding
of the anatomy and pathophysiology of the eyelid. The excellent
general plastic surgeon who does tummy tucks and breast
augmentations almost NEVER has been trained in eyelid anatomy or
pathophysiology and should NOT be the one you choose to treat
your entropion, which should be treated only by a fully
fellowship trained oculo-facial surgeon. Fellowship in the
American Society of Oculo-facial Plastic and Reconstructive
Surgery (ASOPRS) indicates that the surgeon has greatest
specialized training and expertise in this subspecialty.
If you have entropion, please consult with Dr. Kass who is fully
trained to treat this problem and has been in practice in Tampa
Bay for over 27 years.
Sign up for our email newsletter and get a $50 coupon!
Please contact the Kass Center for Cosmetic Facial
and Eye Plastic Surgery or call 727-522-3223 (FACE) for more information and a