OCULOPLASTIC West Chester, Paoli, and Kennett Square PA

Entropion in West Chester, Paoli & Kennett Square, PA

What is Entropion?

Entropion is an eye condition where the eyelid turns inward. Typically entropion occurs on the lower eyelid where the skin and lashes rub painfully against the cornea. This condition may cause the lid to either turn in constantly or only at times when the eyes are closed tightly.

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What Causes Entropion?

Entropion usually occurs in older adults as a result of the aging process. In adults the muscles around the eyes may progressively weaken. A spasm or relaxation of the muscles near the eye can cause the lid to turn inward. Other causes of entropion include:
  • Injury
  • Muscle weakness
  • Congenital defect
  • Skin disease
  • Inflammation
  • Surgery

What are the Symptoms of Entropion?

The initial symptoms of entropion are often the following:

  • Pain in the eye
  • Excessive tearing
  • Redness
  • Irritation
  • Pain
  • Dry eyes
  • Sensitivity to light
  • Reduced vision
  • Discharge from the eye
  • A feeling that there is something in the eye

What Can Happen if Entropion is Left Untreated?

Over time, if the condition is not treated, the cornea may become damaged due to:

  • Abrasions
  • Corneal ulcers
  • Infection
Patients experiencing light sensitivity should contact their physician immediately. Without treatment a decrease in vision can occur. The doctor will be able to confirm the diagnosis of entropion upon an examination of the eyes.

Treatment of Entropion

While there are treatments for entropion, correction of the condition is completed with a brief surgical procedure in which the eyelids are repositioned. Temporary relief of the entropion condition can also be found with the following treatment methods:
  • Skin tape to hold the eyelid in place
  • Strategically placed stitches
  • Lubricating eye drops

Surgical Correction of Entropion

The eyelid area is numbed with a local anesthetic and a light sedation may also be provided. For entropion due to muscle weakness, the surgery may involve the removal of a small section of eyelid to tighten the muscles in the area. When the entropion is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid.
Patients usually need to wear an eye patch for 24 hours after the surgery. Post-operatively an antibiotic and steroid ointment will need to be applied. Symptoms of entropion usually resolve immediately. There may be some short-term bruising or swelling as a result of the procedure.

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Patient Testimonial

“I opted to have the Vistarr procedure in order to free myself of the need for glasses and/or contact lenses. My near vision was very good uncorrected, so Dr. Hneleski indicated that the “monofocal” procedure, whereby only the one eye would be corrected for distance, which would allow me to be free of reading glasses as well. Everything went fine; the staff was all very professional; the outcome was great! Every day is a new opportunity to see what I’ve been missing.

In the words of the hymn “Amazing Grace:”
“I was once lost but now am found
Was blind but now I see.”

– Msgr. Joseph C. Cunningham
Roman Catholic Priest-Pastor

Schedule a Consultation with Vistarr Laser & Vision Centers

Vistarr Laser & Vision Centers provides patients in West Chester, Paoli, and Kennett Square, PA with treatments for Entropion. Call (610) 692-8100 or fill out a Contact Form here to schedule an appointment.

Additional Resources

  • U.S. National Library of Medicine
  • WebMD

 

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