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Eyelid Problem - Entropion |
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Definition |
 Entropion,
an eyelid that turns inward, is a problem that typically
affects the lower lid. Surgery is often required to correct
the problem. Entropion can be detected during a routine eye exam. A
slit lamp microscope is used to examine the effects of the
in-turned eyelashes on the surface of the eye. |
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Causes |
It usually stems from a muscle spasm; however, it can also
be caused by scarring from trauma or inflammation from
certain diseases that involve the eyelids. |
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Symptoms |
The most common symptoms are:
- Tearing
- Burning
- Irritation
- Sandy, gritty feeling
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Effect on Vision |
When the eyelid turns inward, the lashes rub against the
eye, resulting in irritation, scratchiness, tearing and
redness. |
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Treatment |
The most effective treatment for entropion is surgery,
although some patients find temporary relief by pulling the
lower lid down with a piece of tape. Artificial tears are
also helpful to ease the irritation caused from the lashes
rubbing against the eye. |
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Eyelid Problem - Ectropion |
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Definition |
 Patients
with ectropion have a sagging lower eyelid that leaves the
eye exposed and dry. Ectropion can be diagnosed with a
routine eye exam. |
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Causes |
An ectropion is caused by a lack of tone of the delicate
muscles that hold the lid taut against the eye. |
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Symptoms |
Excessive tearing is a common with ectropion, but wiping the
tears away only causes the lid to sag more. Ectropion is
most common among people over the age of 60. Some symptoms
are
- Irritation
- Burning
- Gritty, sandy feeling
- Excessive tearing
- Red, irritated eyelid
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Effect on Vision |
There is irritation and excessive tearing. See Symptoms
above for other possible effects on vision. |
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Treatment |
The irritation can be temporarily relieved with artificial
tears and ointments to lubricate the eye. However, surgery
to tighten the lid is usually necessary to correct this
problem. |
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