What is entropion eyelid malposition?

Top Doctors recently spoke to highly experienced and skilled consultant ophthalmologist, Miss Velloor Jayshree Menon, who, here in this article below, tells us all about entropion eyelid malposition.

What is meant by an entropion eyelid malposition?

Entropion is a condition where the eyelid turns inwards. It can cause discomfort, tearing, recurrent infections, and, in severe cases, can also lead to ulceration of the cornea. Entropion can affect all ages but is more prevalent in older patients. It is most commonly seen in the lower eyelid, although the upper lid can also be affected.

In the early stages, an entropion is transient and is only brought on when squeezing the eye shut. In more established stages, the entropion is constant with the eyelid rolled inwards and the eyelashes rubbing against the eye.

What are the main causes?

The most common cause of an entropion is laxity of the lid (involutional entropion). Although this is commonly seen in older patients, it can also be seen in younger patients, especially if there is a background of sleep apnoea or habitual rubbing of the eyelid. The other causes of entropion include conditions which produce scarring of the inner lining of the lid such as cicatricial entropion.

How is entropion eyelid malposition treated?

Surgery to correct the lid position and lid laxity is the treatment of choice advised by ophthalmologists. It is the only long-term treatment solution. In the vast majority of patients who have involutional entropion, this is usually a relatively quick procedure and can be done under local anaesthesia as a day-case procedure.

The lateral tarsal strip procedure, which is very successful in correcting lid malpositions, is one of the most commonly used techniques.

Is it considered to be serious?

Persistent entropion may cause repeated infections and lead to ulcers of the cornea, which can cause permanent scarring and loss of sight. Frequently, patients who are noted to have an entropion will be advised to have the entropion treated before undergoing eye surgery such as cataract surgery or indeed intraocular injections. This is because an entropion can substantially increase the risk of infections in the peri-operative period and lead to loss of vision.

What can happen if left untreated?

A neglected entropion can affect the person's quality of life with repeated eye infections and discomfort. It can lead to corneal ulceration and scarring which may impact vision.

To book a consultation with Miss Velloor Jayshree Menon, head on over to her Top Doctors profile today.