What is an eyelid entropion?
An eyelid entropion is a condition where the eyelid turns inwards, causing the eyelashes to rub against the eye. It most commonly affects the lower eyelids, but can sometimes affect the upper eyelids too. It causes pain, redness and watering.
What causes an eyelid entropion?
An eyelid entropion can occur for a variety of different reasons and I will be able to identify the cause and make a plan to correct it. The most common cause is age-related stretching of the eyelid tissues; this makes the eyelid turn inwards, and in these cases surgery is often very successful.
How does a lower lid entropion correction work?
The surgery is usually performed under local anaesthetic, though it can also be carried out under a general anaesthetic if requested. After an injection of local anaesthetic, we make an incision just under the eyelashes of the lower lid. This allows us access to the stretched tissues in the lower lid; they can then be gently repositioned, before I tighten the eyelid and close the wound. The sutures are removed after one week. The eyelid may remain swollen for a few weeks, but the effect of the correction is immediately apparent. For more detailed information on your recovery, please see our post-operative advice.
What are the risks of entropion surgery?
As with any form of surgery, there are potential risks involved in entropion surgery – although serious complications are very rare. The risks include:
- infection: this is very rare around the eyelids
- bruising and swelling: this is very common after eyelid surgery but usually settles after a week
- scarring: the scar forms along the natural skin crease of the eyelid and heals very well
- under- or over-correction: the final position of the eyelid is carefully measured during surgery, but occasionally the final position after the lid has healed may not be quite right. If this happens, further surgery is sometimes required to readjust the eyelid position
- reduced vision: any operation performed on the eyelids could potentially cause damage to your eyesight; fortunately the risk of this happening is extremely rare.
For more information on entropion please visit the BOPSS website.