Presentation
[…] if the condition was present at the time of inpatient admission. [icd.codes]
The classic presentation was male, Caucasian, diagnosed at 7.2 weeks of age, bilateral, or right-sided. Corneal ulcers were seen in 50% of patients. [aao.org]
AB - Purpose To describe a case of congenital entropion presenting with ulcerative keratitis that was successfully treated with a single injection of botulinum toxin. Design Interventional case report. [mayoclinic.pure.elsevier.com]
To describe a case of congenital entropion presenting with ulcerative keratitis that was successfully treated with a single injection of botulinum toxin. Interventional case report. [ncbi.nlm.nih.gov]
Gastrointestinal
- Overeating
It was reported that over 20% of Japanese children have… (More) Daniel Y. Maman, Peter James Taub Annals of plastic surgery 2011 Entropion is a malposition of the eyelid causing an abnormal inversion of the eyelid margin. [semanticscholar.org]
There was no significant difference in the change in corneal astigmatism following surgery between the group under the age of 7 and the group over the age of 7. [ncbi.nlm.nih.gov]
Old report related that over 27% of Japanese children have congenital entropion at 1year old. One of the structural cause is development of epiblepharon which tract the lower eyelid to the upper eyelid, is also highly existed in Asian. [omicsonline.org]
He treated a 22-year-old healthy white male who complained of bilateral eye irritation that had been worsening over the past 2 years. The entropion had apparently been present to some extent since childhood. [ophthalmologytimes.com]
The success rate of surgery is over 95%. [clinicalondon.co.uk]
Skin
- Photosensitivity
History Typically presents at birth with diagnosis based on clinical malposition of eyelids Infrequent opening of eyes Photosensitivity Irritability Blepharospasm Corneal epithelial defects Clinical features Upper eyelid congenital entropion More severe [aao.org]
Workup
Methods: : Patients with congenital eyelid anomalies presented during one year period (Dec 2006 - Nov 2007) with complete clinical workup were included. Karyotyping from blood was done in all the patients. [iovs.arvojournals.org]
Treatment
Results Four days after treatment, the entropion had resolved and the corneal epithelial defect had healed. There was no recurrence of the entropion 7 months after botulinum toxin injection. [mayoclinic.pure.elsevier.com]
The treatment is always surgical. A total of 22 cases * of primary congenital entropion has been found in the literature to date. The statistics of these cases are interesting, though not particularly enlightening: Approximately two-thirds of the [jamanetwork.com]
Anatomical characteristics and surgical treatment of bilateral congenital upper eyelid entropion in an infant with neonatal progeroid syndrome. Ophthal Plast Reconstr Surg. 2014; 30: e164-166. [aao.org]
The treatment of epiblepharon depends on the presence of corneal damage caused by lashes scratching the cornea. The treatment of congenital entropion is surgical. Surgery can be delayed as long as the corneal findings are not severe. [neweyelids.com]
The authors describe a pediatric patient with congenital entropion and review the nature of the problem and its treatment options. [journals.lww.com]
Prognosis
Poor visual prognosis is more likely to occur from a corneal ulcer scar or delay in diagnosis. [aao.org]
Expectations (prognosis) The outlook is usually good if the condition is treated before cornea damage occurs. [pittsburgheyeassociates.com]
Prognosis : good. Presenting signs Epiphora Eye: epiphora. Mucopurulent ocular discharge Eye: ocular discharge - overview when concurrent ocular infection is present. Periocular crusting associated with ocular discharge. Periocular irritation. [vetstream.com]
If inflammation or infection are not controlled, the prognosis is worse, higher risk of complications, and can often progress. [statpearls.com]
Etiology
This finding refutes the commonly accepted concept of orbicularis muscle hypertrophy as an etiologic mechanism of congenital entropion. Full Text [jamanetwork.com]
This finding refutes the commonly accepted concept of orbicularis muscle hypertrophy as an etiologic mechanism of congenital entropion. [ncbi.nlm.nih.gov]
Epidemiology
Proposed mechanisms of congenital lower eyelid entropion Vertical deficiency in the posterior eyelid lamella with or without disinsertion of the lower eyelid retractor muscles Horizontal laxity of the medial or lateral canthal tendons Facial nerve palsies Epidemiology [aao.org]
Pathophysiology
The simple surgical procedure described would probably be successful in most cases, assuming that pathophysiologic mechanism is correct. References 1. Hiles DA, Wilder LW: Congenital entropion of the upper lids. [healio.com]
The pathophysiology is related to a loss of supportive structures in the lower lid. With age, the medial and lateral canthal tendons develop some laxity. The lower eyelid retractors also become thin and attenuated. [csops.com]
Recurrences that present a year or more after surgery may be due to progression of underlying pathophysiology. [medtextfree.wordpress.com]
Entropion • Involutional (senile) • Pathophysiology – Upward migration of preseptal orbicularis over the posterior lamellae – Laxity or dehiscence of eyelid retractors – Horizontal lid laxity 16. [slideshare.net]
[…] additional skin (flap or graft), release any vertical scar bands, horizontally tighten eyelid Paralytic Horizontally tighten eyelid, possibly reinforced by periosteal flap or fascial sling; palpebral spring Entropion Congenital Depends upon specific pathophysiologic [reviewofophthalmology.com]
Prevention
0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis [medicbind.com]
Prevention Generally, entropion isn't preventable. You may be able to prevent the type caused by trachoma infection. [mayoclinic.org]
Most cases are not preventable. [pittsburgheyeassociates.com]
If encountered, these should be excised and repaired. [1] The surgeon should be cognizant of the marginal arcade during entropion repair to prevent necrosis at the lid margin. [eyewiki.aao.org]
Centers for Disease Control and Prevention Intersex (Medical Encyclopedia) [ Read More ] Eyelid Disorders Your eyelids help protect your eyes. When you blink, your eyelids spread moisture over your eyes. [icdlist.com]