At ENHANCE Aesthetic Arts, Dr. Irene Gladstein is highly prolific eyelid surgeon that has undertaken many thousands of eyelid surgeries, including entropion repair. We have come across many patients who have burning questions about entropion repair, and in this post, we provide answers to some of these popular questions.
This is a condition that causes the lower eyelid and eyelashes to start rolling inwards towards the eye. Skin under the affected eyelid begins to rub against the front part of the eye; the cornea, and the conjunctiva, which is the mucous membrane protecting the eye.
Aging is a major reason for entropion because the older you get, the more the tissues of an eyelid begin to relax. Other causes are due to chemical or thermal burns which scar the inner surface of the eyelid, and diseases caused by inflammation or allergic reactions.
Here are six possible consequences of the condition. By knowing these consequences, patients will know why entropion repair is warranted:
Because entropion prevents the edge of the eyelid from ‘turning in’ it is necessary to perform a surgical procedure to repair the condition. This involves the division of excess tissue and cartilage that surround the eyelid. The only part of the body affected during the procedure is the skin and cartilage that surrounds the upper eyelid.
The answer to this one is “Yes”. There are several methods of performing entropion repair and a variety of techniques are employed. These options are best discussed with your surgeon in the first instance. If, after this consultation, a person has any doubts or concerns, they should not hesitate to seek a second opinion. The procedure can be performed under local anesthesia and either with or without intravenous sedation.
This procedure is generally performed in an out-patient surgery facility, in an ophthalmologist’s practice or at a hospital. The time taken to perform the procedure is between 45 minutes and one hour.
Although every precaution is taken before, during and after the procedure, it is important to be aware of the possible risks involved. The following complications may arise and these should be thoroughly discussed with your ophthalmologist:
As a general rule, there is no requirement for post-procedure care. The exception to this rule is if any complications arise.
The good news is that prognosis for entropion repair procedure is excellent as long as the surgery is carried out before any damage to the cornea occurs. This should convince patients suffering from entropion that the sooner they arrange an appointment to resolve their condition, the better it will be.