Eyelid Malposition – Entropion & Ectropion
Two of the most common forms of eyelid malposition are entropion and ectropion.
Entropion is the inward turning of the eyelid, usually the lower, causing the lashes to rub against the cornea (the clear surface of the eye). Patients complain of eye pain, excessive tearing, redness and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and some vision loss.
Causes of Entropion
Laxity of eyelid tendons combined with weakening of muscles with age commonly cause entropion, although it could also occur as a result of trauma or scarring.
Ectropion is an outwardly turned or sagging lower lid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.
Causes of Ectropion
Common causes of ectropion include age-related tendon laxity, trauma, scarring, or facial nerve paralysis associated with Bell’s Palsey.
Initially, lubrication drops or ointments may give temporary relief from the irritation caused by entropion and ectropion; however, surgical treatment is usually the only long term solution.
Entropion repair is normally performed on an outpatient basis under a local anesthesia with sedation. This type of anesthesia is also known as Monitored Anesthesia Care (MAC) and is performed by an anesthesiologist. Benefits of a MAC include: greater comfort, fast recovery, much lower risk of nausea after surgery and does not require intubation.
This surgery is usually performed on an outpatient basis, so you will go home the same day. There is minimal discomfort after the procedure. You may experience blurred vision, which should last under 24 hours. Ice packs are recommended for the first two days while bending and heavy lifting should be minimized. Swelling and bruising around to eyes lasts for seven to ten days. Most patients can return to work after one week.