How do you get entropion?

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asked Oct 6, 2023 in Eye Health by dirtyshoes (2,160 points)
How do you get entropion?

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answered Nov 5, 2023 by Babbacock (14,190 points)
You can get entropion through burns, trauma, infection, birth defects, previous surgery and even through normal aging.

The most common cause of entropion is aging which causes the muscles and tendons that hold the eyelid taut against the eye to stretch out and turn in.

Entropion is an inversion or inward turning of the eyelid margin.

When this happens it can result in trichiasis, where the eyelashes are directed posteriorly toward the globe.

It is one of the most common eyelid malpositions.

Artificial tears and lubricating ointments can help relieve symptoms of entropion.

But usually surgery is needed to fully correct the condition.

Left untreated, entropion can cause damage to the transparent covering in the front part of your eye (cornea), eye infections and vision loss.

If tissue scarring has occurred, entropion may persist even after the other condition has been treated.

Surgery is generally required to fully correct entropion, but short-term fixes can be useful if you can't tolerate surgery or you have to delay it.

If deemed medically necessary your insurance will cover this procedure subject to deductibles, co-pays and co-insurance.

This is a condition in which the eyelid is rolled inward against the eyeball.

There are four types of entropion: congenital, involutional, acute spastic, and cicatricial.

Lower eyelids are often involutional while the upper eyelid is cicatricial.

Lower eyelid entropion is much more common than upper eyelid entropion.

The public health insurance program for people over 65 typically does not cover cosmetic surgery, but for cases in which a patient's sagging eyelids significantly hinder their vision, it does pay to have them lifted.

In most cases, people fully recover from surgical entropion repair in about two weeks.

The operation for entropion surgery is usually performed under a local anesthetic that is injected in your eyelid and given as local anaesthetic eye drops.

The entropion surgery operation usually takes 30 minutes to an hour, depending on whether the operation involves both eyes.

Ectropion caused by muscle and ligament relaxation due to aging.

Your surgeon will likely remove a small part of your lower eyelid at the outer edge.

When the lid is stitched back together, the tendons and muscles of the lid will be tightened, causing the lid to rest properly on the eye.

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