An entropion occurs when the eyelid rolls inward, toward the eye, often causing the lashes to rub against the surface of the eye. The sensation of lashes rubbing on the eye, particularly the cornea, is extremely uncomfortable, and symptoms of scratching, tearing and redness are very common. Rarely, permanent damage and scarring of the cornea can occur if the entropion is not treated. Entropion is most often caused by age and eyelid laxity, or loosening of the eyelid tissues. Entropion can also be caused by hypertrophy (enlargement) of the orbicularis muscle, the main muscle of the lower eyelid. Rarely, scarring of the conjunctiva on the back side of the eyelid can cause the eyelid to roll inwards, creating an entropion.
Dr. McKevitt can perform an entropion repair, a procedure where the eyelid is rolled back out into its correct anatomic position against the eyeball. A small, minimally visible incision is made at the outer corner of the eyelid in the natural crease and the tissues are gently rotated into their normal anatomic position with sutures. Once the tissues are healed, the majority of the sutures will absorb and melt away. This procedure is usually performed in an outpatient surgery setting with IV sedation and local numbing medication. Some eyelid bruising can occur, and this typically resolves within 1-2 weeks of the procedure. Some discomfort can occur and is usually treated with mild to moderate oral pain medications.