Eyepiece: Causes, Complications and Surgical Repair
Entropion is the anatomical deformity in which the lip of the eyelid (usually the lower one) is turned inwards, resulting in the eyelashes and skin coming into constant contact with the eyeball.
Etiology & Pathogenesis
The condition can be caused by:
Age-related relaxation: Exercising the muscles and ligaments that hold the eyelid together.
Spasm: Intense contraction of the sphincter muscle of the eyelids.
Scarification: After wounds, burns or chronic inflammatory diseases of the conjunctiva.
Therapeutic Treatment
The definitive solution is exclusively surgery. The procedure aims to restore the eyelid to its anatomical position and tighten the supporting tissues. The procedure is painless, performed under local anesthesia and offers immediate relief.
Risks & Complications
Constant mechanical friction of the eyelashes on the cornea (trichiasis) can cause:
Superficial abrasions and irritation.
Chronic inflammation and redness.
Corneal ulcers and permanent scars that threaten vision.
Frequently Asked Questions
Why does entropion occur mainly in older people?;
Over time, the tissues and muscles that hold the eyelid taut relax. This relaxation allows the eyelid to “fold” inward, especially when we close our eyes tightly.
Is the surgery painful?;
Not at all. The procedure is performed under local anesthesia (as at the dentist) and takes about 30-45 minutes. After surgery, there is a mild discomfort or swelling that goes away quickly with the use of painkillers and cold compresses.
What happens if I don't have surgery?;
If you neglect the entropion, the lashes will continue to injure the cornea. This can lead to serious infections (ulcers) or permanent white scars on the eye, permanently reducing the quality of your vision.
Will there be a scar after the surgery?;
The incisions are made in very discreet places or just below the eyelashes, so after a few weeks the scars are virtually invisible.
Can the entropy reappear?;
If the surgical repair is done correctly, the chance of recurrence is very low. However, because tissue aging continues, in rare cases a small additional correction may be needed years later.
How long does the recovery take?;
Stitches are usually removed in 7-10 days. The swelling and any bruising subsides completely within two weeks, but the relief from “scratching” the eyelashes is immediate, from the very first day.