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Entropion (Inverted Eyelids)

Overview
Causes
Symptoms
Treatment Options
Where to Seek Treatment
Singapore National Eye Centre
Contributed by Oculoplastic & Aesthetic Eyeplastic Service

ENTROPION

Do your eyelashes or eyelids turn inwards and cause irritation to your eyes? The problem could be inverted eyelids (Entropion) - a condition that causes eye discomfort, inflammation and infection.

What is Entropion?
 

Entropion refers to the condition where the eyelid margin rolls inward towards the eye. As a result, the eyelashes constantly rub against the cornea (the front transparent part of the eye) and the conjunctiva (the membrane that lines the eye), sometimes damaging these structures. The lower eyelid is most commonly involved.  

Example :

 

                Entropion

What causes Entropion?

The most common cause of entropion is ageing - tissues that support the lower eyelid become lax. This results in the inward rolling of the eyelid margin. Occasionally, the condition is due to scarring of the inner surface of the eyelid, caused by inflammation, chronic infections or trauma.

Longstanding, uncorrected entropion can lead to gradual scarring of the cornea, as well as increase the risk of infection of the cornea. It is thus important to have this condition repaired before these complications permanently reduce vision. If entropion is present in an eye requiring cataract removal, it is advisable to correct the lid abnormality first, before cataract surgery.

How do I know if I have Entropion?

The constant rubbing of the eyelashes against the cornea and conjunctiva can lead to the following symptoms:

• Excessive tearing
• Crusting of eyelid and mucous discharge
• Grittiness or sandy feeling
• Pain when exposed to bright light
• Blurring of vision

What treatment is there for Entropion?

Example :

 

 Lower lid entropion:
 Lashes rubbing against the cornea
                                                            
Surgery is usually required to tighten the lower eyelid and its attachments. If you need to delay surgery, lubricating eyedrops and ointments can help to alleviate symptoms. As seen in the photograph above, surgery usually does not leave visible scarring after a few weeks.
 
Please visit the following relevant links :-

Oculoplastic & Aesthetic Eyeplastic Service
Outcome Results on Oculoplastic & Aesthetic Eyeplastic Procedures
Oculoplastic & Aesthetic Eyeplastic Clinical Staff
I Want an Eye Examination / an Appointment
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Read more on related Eye Conditions and Treatments:

Aesthetic Eyelid Surgery
Epiblepharon
Orbital Disorders
Ptosis
Socket Reconstruction
Tearing Disorders
Thyroid Eye Disease


Where to Seek Treatment

The medical institutions within SingHealth that offer consultation and treatment for this condition include:

1. Singapore National Eye Centre
Oculoplastic & Aesthetic Eyeplastic Service
11 Third Hospital Avenue, Singapore 168751

Appointments Hotline:
Tel : +65 6227 7266

International Enquiries, please contact:
Tel : +65 6100 9393
Email : ips@snec.com.sg
2. KK Women's and Children's Hospital
Children's - KK Eye Centre
100 Bukit Timah Road Singapore 229899

Appointments Hotline:
Tel : +65 6294 4050

International Enquiries, please contact:
Tel : +65 6394 8888
Email : international@kkh.com.sg


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