entropion

What is Entropion?

Entropion is a medical condition where the eyelid turns inward, causing discomfort and irritation to the eye. This can occur in either the upper or lower eyelid, but it most commonly affects the lower lid.

Symptoms of Entropion

The symptoms of entropion include:

• Corneal irritation and discomfort
• Burning sensation in the eye
• Excessive tearing
• Unsightly reddening of the eye
• The hair on the surface of the eyelid rubbing against the eye

Causes and Treatment

Entropion can be caused by a variety of factors, including aging, injury to the eyelid, or certain medical conditions. Treatment options for entropion include eye drops or surgery to correct the abnormal position of the eyelid.

[1] Entropion is a condition where your eyelid turns in toward your eye. This causes corneal irritation and discomfort. Treatments include eye drops or surgery.[1] [3] In entropion, your eyelid turns inward, causing lashes and skin to rub against the eye.[3] [5] Entropion is a condition in which your lower eyelid turns inward, rubbing against your eye.[5] [7] Entropion is a medical condition in which the eyelid (usually the lower lid) folds inward. It is very uncomfortable, as the eyelashes constantly rub against the eye.[7]

Note: The above information is based on the search results provided and may not be an exhaustive list of symptoms or treatment options for entropion.

Symptoms of Entropion

Entropion, a condition where the eyelid turns inward, can cause various symptoms that affect the eye's comfort and vision. Here are some common signs and symptoms:

• Irritation and pain: The most noticeable symptom is irritation and pain on the front of the eye (cornea) [3].
• Watery eyes: Excessive tearing or a watery eye is another common symptom [4].
• Redness: Eye redness, discharge, crusting, and swelling are also associated with entropion [3].
• Sensitivity to light and wind: People with entropion may experience sensitivity to light and wind, making it uncomfortable to be outdoors or in bright environments [4].
• Foreign body sensation: A feeling that something is in the eye can occur due to the eyelid's inward turn [7].

Complications

If left untreated, entropion can lead to more severe complications:

• Corneal irritation and injury: The most serious complication is corneal irritation and injury, which can result in permanent vision loss [8].
• Eye infections: Entropion increases the risk of eye infections, such as ulcers or erosions on the cornea [2].

When to Seek Medical Attention

If you experience any of the following symptoms, seek medical attention:

• New or worsening eye pain
• Redness in your eye
• Symptoms of an eye infection (pus, discharge, etc.) [6]

It's essential to consult a healthcare professional for proper diagnosis and treatment.

Diagnostic Tests for Entropion

Entropion, a condition where the eyelid turns inward, can be diagnosed through various tests and examinations. Here are some of the diagnostic methods used to identify entropion:

• Comprehensive Eye Exam: A thorough eye exam by an eye doctor is the primary method of diagnosing entropion [1]. The doctor will assess the position, muscle tone, shape, and movement of the eyelid.
• Slit-Lamp Examination: A slit-lamp examination can help identify involution of the eyelid and lash margin, which is a characteristic of entropion [3].
• Provocation Tests: Provocation tests, such as asking the patient to close their eyes or move their eyelid, can help diagnose intermittent entropion [6].
• Tarsal Integrity Test (TIE-2): The TIE-2 test is a simple and useful diagnostic tool for identifying intermittent entropion that may not be revealed by existing provocation tests [8].

In most cases, a comprehensive eye exam and slit-lamp examination are sufficient to diagnose entropion. Special tests, such as the Tarsal Integrity Test (TIE-2), may be used in specific situations.

References:

[1] Context 1 [3] Context 3 [6] Context 6 [8] Context 8

Treatment Options for Entropion

Entropion, a condition where the eyelid turns inward, can be treated using various methods, including drug treatment.

• Artificial Tears and Lubricating Ointments: Artificial tears and lubricating ointments can provide temporary relief by moistening the ocular surface. This can help reduce discomfort and prevent further irritation (4).
• Botulinum Toxin Injections: Botulinum toxin injections have been shown to be effective in treating entropion, with a significantly high success rate (7). However, it's essential to note that this treatment may need to be repeated as the medication wears off.
• Antibiotics and Corticosteroids: Eyelid hygiene, antibiotics, and corticosteroids can be useful for treating blepharitis, which may cause spastic entropion (11).

Important Considerations

While drug treatments can provide relief, they may not offer long-term results. Surgical repair is often the most effective treatment option for entropion, with a success rate of 50% to 80% (13). It's essential to consult with an eye care professional to determine the best course of treatment for your specific condition.

References: * [4] - Medical treatment for lower lid entropion * [7] - Injection of botulinum toxin for treating entropion * [11] - Treatment of blepharitis and spastic entropion * [13] - Surgical treatment for entropion

Differential Diagnoses for Entropion

Entropion, a condition where the eyelid turns inward, can be challenging to diagnose due to its similarity with other ocular conditions. Here are some key differential diagnoses to consider:

• Epiblepharon: A congenital or acquired condition characterized by an extra fold of skin on the upper eyelid, which can cause similar symptoms to entropion [5].
• Trichiasis: A condition where eyelashes grow inward toward the eye, causing irritation and discomfort. It is often associated with entropion but requires a different management approach [1][2].
• Distichiasis: A rare congenital condition where an extra row of eyelashes grows from the meibomian gland orifices, which can cause similar symptoms to entropion [5].
• Ectropion: A condition where the eyelid turns outward, opposite to entropion. It is essential to rule out ectropion before confirming a diagnosis of entropion [7].

Other Considerations

In addition to these differential diagnoses, it's also crucial to consider other factors that may contribute to entropion symptoms, such as:

• Medication side effects: Certain medications can cause changes in eyelid position or function, leading to symptoms similar to entropion.
• Ocular lubricants and immunosuppressive agents: These treatments may be used to manage entropion symptoms but require careful consideration of potential interactions with other medications [2].

References

[1] Context 3: Entropion (en-TROH-pee-on) is a condition in which your eyelid turns inward so that your eyelashes and skin rub against the eye surface. [2] Context 2: Jan 20, 2023 — Medication Summary · Ocular lubricants · Immunosuppressive agents [5] Context 5: by L Skorin Jr · 2018 · Cited by 2 — When evaluating a patient for entropion, there are several other important differential diagnoses to consider. [7] Context 7: Jun 16, 2023 — Differential diagnoses like epiblepharon, ectropion, distichiasis, and trichiasis must be ruled out before entropion can be confirmed.