From the Guidelines
The medical term for an inverted eyelid is entropion, which is characterized by the eyelid margin turning inward toward the eye, causing irritation and potentially leading to corneal damage if left untreated. This condition can be caused by various factors, including aging, scarring, muscle spasms, or congenital factors, and it most commonly affects the lower eyelid. According to the study on conjunctivitis preferred practice pattern 1, entropion is listed as a potential sequela of Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN), which is a severe mucocutaneous reaction that can involve the eyes and other mucous membranes. The study highlights the importance of proper diagnosis and treatment to prevent complications such as corneal scarring, neovascularization, and severe vision loss. Some key points to consider in the diagnosis and treatment of entropion include:
- The condition can lead to chronic irritation, redness, tearing, and discomfort if left untreated
- Temporary relief may be achieved with lubricating eye drops or ointments like artificial tears to reduce irritation
- Taping the eyelid or using specialized eyelid weights might provide short-term correction
- The definitive treatment for persistent entropion is usually surgical correction to reposition the eyelid margin properly, as recommended by ophthalmologists or oculoplastic surgeons 1. It is essential to consult an eye care professional for proper diagnosis and treatment to prevent potential complications and improve quality of life.
From the Research
Definition and Classification of Inverted Eyelid
- Inverted eyelid, also known as entropion, is a condition where the margin of the eyelid turns inward against the globe 2.
- It can be classified into different types, including cicatricial, congenital, acute spastic, and involutional entropion 2.
- Involutional entropion is the most common type and its prevalence is increasing with age 2.
Symptoms and Complications of Inverted Eyelid
- Entropion can cause irritative symptoms such as ocular discomfort, corneal abrasion, microbial keratitis, corneal vascularization, and visual loss if left untreated 2.
- It can also lead to complications such as corneal ulcers and vision loss if not properly managed 3.
Treatment Options for Inverted Eyelid
- Treatment options for entropion include nonsurgical and surgical procedures, such as everting sutures, transverse blepharotomy, and marginal rotation 2.
- Botulinum toxin injection is also a effective treatment option for involutional entropion, with a high success rate and minimal recurrence rate 4, 5, 6.
- Botulinum toxin can be used to treat various forms of entropion, including congenital entropion, with a single injection conveying indefinite benefits 6, 3.