Learn About Entropion

What is the definition of Entropion?

Entropion is the turning in of an edge of an eyelid. This causes the lashes to rub against the eye. It most often is seen on the lower eyelid.

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What are the alternative names for Entropion?

Eyelid - entropion; Eye pain - entropion; Tearing - entropion

What are the causes of Entropion?

Entropion can be present at birth (congenital).

In babies, it rarely causes problems because the lashes are very soft and do not easily damage the eye. In older people, the condition is most often caused by a spasm or weakening of the muscles surrounding the lower part of the eye.

Another cause can be trachoma infection, which can lead to scarring of the inner side of the lid. This is rare in North America and Europe. However, trachoma scarring is one of the three leading causes of blindness in the world.

Risk factors for entropion are:

  • Aging
  • Chemical burn
  • Infection with trachoma
What are the symptoms of Entropion?

Symptoms include:

  • Decreased vision if the cornea is damaged
  • Excessive tearing
  • Eye discomfort or pain
  • Eye irritation
  • Redness
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What are the current treatments for Entropion?

Artificial tears can keep the eye from becoming dry and may help you feel better. Surgery to correct the position of the eyelids works well in most cases.

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What is the outlook (prognosis) for Entropion?

The outlook is most often good if the condition is treated before eye damage occurs.

What are the possible complications of Entropion?

Dry eye and irritation may increase the risk for:

  • Corneal abrasions
  • Corneal ulcers
  • Eye infections
When should I contact a medical professional for Entropion?

Call your provider if:

  • Your eyelids turn inward.
  • You constantly feel as though there is something in your eye.

If you have entropion, the following should be considered an emergency:

  • Decreasing vision
  • Light sensitivity
  • Pain
  • Eye redness that increases rapidly
How do I prevent Entropion?

Most cases cannot be prevented. Treatment reduces the risk of complications.

See your provider if you have red eyes after visiting an area where there is trachoma (such as North Africa or South Asia).

What are the latest Entropion Clinical Trials?
Efficacy of Intraoperative Brimonidine for Hemostasis During Eyelid Surgery

Summary: The purpose of this study is to observe and report the effects of topical ophthalmic brimonidine in oculofacial plastic surgery.

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Suture-less Procedure for Management of Cicatricial Upper Eyelid Entropion

Summary: Suture-less technique will be used in treatment for cicatricial upper eyelid entropion to detect its long-term efficacy

What are the Latest Advances for Entropion?
Severe cicatricial entropion repair using mucous membrane graft in Stevens-Johnson syndrome.
Treatment Of Senile Entropion: A Comparison Of Standard And Modified Surgical Technique.
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Upper Eyelid Reconstruction Surgeries; Comparison Of Outcomes Between Reverse Tenzel Flap Versus Cutler Beard Flap Procedure.
Who are the sources who wrote this article ?

Published Date: October 10, 2020
Published By: Linda J. Vorvick, MD, Clinical Associate Professor, Department of Family Medicine, UW Medicine, School of Medicine, University of Washington, Seattle, WA. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

What are the references for this article ?

Cioffi GA, Liebmann JM. Diseases of the visual system. In: Goldman L, Schafer AI, eds. Goldman-Cecil Medicine. 26th ed. Philadelphia, PA: Elsevier; 2020:chap 395.

Gigantelli JW. Entropion. In: Yanoff M, Duker JS, eds. Ophthalmology. 5th ed. Philadelphia, PA: Elsevier; 2019:chap 12.5.