what is entropion

Entropion (Inversion of the eye Lid)

Entropion is a condition in which eye lid margin is turned towards the eye ball.

Types:

(1)       Congenital

(2)       Acquired

(i)         Involutional (Senile)

(ii)        Cicatricial

            (iii)       Spastic- due to spasm of orbicularis oculi

Clinical Features.

• FB sensation
• Congestion
• Punctate keratitis
• Corneal ulceration & Secondary infection

Involutional Entropion.

• Commonest
• Affects the lower lid
• Overriding of preseptal part over the pretarsal part of the orbicularis muscle as a result of atrophy of the tarsus and lower lid retractors.

Cicatrtcial Entropion.

• Usually caused by scarring of the palpebral conjunctiva

Causes include

• Trachoma
• Chemical burn
• Steven Johnson's Syndrome
• Cicatricial pemphigoid

Treatment

·        Surgical