The condition is of gradual onset and often there is no history of previous inflammation, so whatever, irritation is present seems to be the result of the entropion and not the cause. [ijo.in]

If present, these can also cause secondary spastic entropion. Assess corneal status specifically for corneal abrasions, scarring, thinning, or neovascularization. [aao.org]

• Inflammation

  The condition is of gradual onset and often there is no history of previous inflammation, so whatever, irritation is present seems to be the result of the entropion and not the cause. [ijo.in]

  Establishing the diagnosis Etiology Definition: Inward rotation of the eyelid margin with direction of the lashes or keratinized lid margin against the ocular surface, leading to inflammation and keratitis Both the upper and lower eyelid can be affected [aao.org]

• Pain

  One case complained of pain in the region of the temporal incision. A small tender swelling developed at the site of the incision (a stitch abscess), but it subsided readily with medical treatment. [ijo.in]

  History Chronic foreign body sensation or irritation Pain Red eye Epiphora due to irritation or lash touch Discharge Decreased or blurry vision Clinical features Lower eyelid margin rotated inward against cornea (Figure 1) and conjunctiva causing corneal [aao.org]

• Surgical Procedure

  Surgery Temporizing surgical procedures Quickert-Rathbun rotational sutures Indications: For correction of lower eyelid involutional entropion when a more definitive procedure is not practical, such as if patient is a poor surgical candidate due to significant [aao.org]

• Ulcer

  Demographic and predisposing factors in corneal ulceration. Arch Ophthalmol. 1983; 101: 1545-1548. Olver JM, Barnes JA. Effective small-incision surgery for involutional lower eyelid entropion. Ophthalmology. 2000; 107: 1982-1988. [aao.org]

• Muscle Spasm

  It would seem, therefore, that the senile entropion is the result of a disturbance of the normal relationship of the structures caused by the degenerative processes of old age rather than by the muscle spasm. [ijo.in]

  Spastic entropion occurs from reactive muscle spasms of the orbicularis muscle and requires management of the underlying ocular irritation or infection. [aao.org]

• Corneal Irritation

  It is only after prolonged corneal irritation caused by the inturned lashes that the spastic element becomes superimposed. That spastic entropion exists as a clinical entity is of course obvious. [ijo.in]

  Disease-related complications Corneal irritation from constant irritation of lashes against ocular surface Corneal scarring Corneal ulcer (Musch, Arch Ophthalmol 1983) Vision loss Patient instructions Detailed wound care instructions Follow up for recurrence [aao.org]

• Lacrimation

  An acute form of this condition is seen in cases of ocular inflammation and after prolonged bandaging; it is found in young and old alike and is accompanied by blepharospasm, photophobia and lacrimation. [ijo.in]

  Section 7: Orbit, Eyelids, and Lacrimal System, 2013-2014. AAO, Focal Points: Ectropion and Entropion, Module #10, 1994: 3. AAO, Focal Points: Management of Trichiasis, Module #4, 2001. Babuccu O. [aao.org]

• Foreign Body Sensation

  History Chronic foreign body sensation or irritation Pain Red eye Epiphora due to irritation or lash touch Discharge Decreased or blurry vision Clinical features Lower eyelid margin rotated inward against cornea (Figure 1) and conjunctiva causing corneal [aao.org]

• Blepharospasm

  An acute form of this condition is seen in cases of ocular inflammation and after prolonged bandaging; it is found in young and old alike and is accompanied by blepharospasm, photophobia and lacrimation. [ijo.in]

• Lagophthalmos

  Treatment of lagophthalmos of the lower lid. Arch Ophthalmol. 1969; 81: 366-368. Wheeler JM. Spastic Entropion Correction by Orbicularis Transplantation. Trans Am Ophthalmol Soc. 1938; 36: 157-162. Wright M, Bell D, Scott C, Leatherbarrow B. [aao.org]

Preventing and managing treatment complications Recurrence can happen, although less commonly than with Quickert sutures. [aao.org]

PMID: 523074 [Surgical treatment of senile entropion and ectropion of the lower lid (author's transl)]. Piffaretti JM. Piffaretti JM. Klin Monbl Augenheilkd. 1981 Apr;178(4):241-3. doi: 10.1055/s-2008-1057194. Klin Monbl Augenheilkd. 1981. [pubmed.ncbi.nlm.nih.gov]

A small tender swelling developed at the site of the incision (a stitch abscess), but it subsided readily with medical treatment. [ijo.in]

Evaluate patient for ocular surface disease (i.e., surface keratopathy, corneal infiltrates) and etiology of entropion. Cicatrizing etiologies can demonstrate shortened fornices, symblepharon, and scarred posterior tarsal conjunctiva. [aao.org]

Epidemiology Occurs in up to 2.1% of the elderly population (1.9% men and 2.4% women), with significant tissue laxity (Damasceno, Ophthal Plast Reconstr Surg 2011). [aao.org]

Close orbicularis muscle and skin edges in layered fashion (scar prevents overriding orbicularis). Preventing and managing treatment complications Recurrence can happen, although less commonly than with Quickert sutures. [aao.org]