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entropion repair

At @theenhancers , 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.

What Is Entropion?

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.

Why Does This Condition Occur?

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.

What Are The Possible Consequences Of Entropion?

Here are six possible consequences of the condition. By knowing these consequences, patients will know why entropion repair is warranted:

  • An excessive amount of tearing can occur
  • Mucous discharge is likely
  • The eyelid will ‘crust’
  • The cornea will become irritated
  • A decrease in vision can occur
  • A fairly regular sensation of something being in the eye will be experienced

How Is The Procedure Like?

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.

Are There Different Methods Of Performing This Procedure?

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.

Where Will Entropion Repair Be Performed And How Long Will It Take?

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.

Are There Possible Risks Involved And Is Post-Operative Care Required?

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:

  • The surgical wound may become infected
  • Vision loss
  • Recurrence of Entropion
  • The wound may re-open

As a general rule, there is no requirement for post-procedure care. The exception to this rule is if any complications arise.

Is The Prognosis After Surgery Positive?

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.