Entropion, (Inverted Eyelid) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions

By Kenneth Kee

This book describes Entropion (Inverted Eyelid), Diagnosis and Treatment and Related Diseases

Recently I have a 20 year old patient who has bilateral entropion which causes her lower eyelashes to turn inwards and irritate her conjunctiva and also blur her vision.

She had laser abrasion of her lower eyelashes done by an eye surgeon which gave her some relief for a few months but unfortunately the eyelashes grew back and irritated her eyes again.

She was then referred to an eye surgeon for surgical treatment of her entropion.

At the moment she is still recovering from her operation.

In fact my own mother had this same problem in her seventies due to aging and the drooping of lax eyelid muscles.

She went to an eye surgeon who did a laser removal of her lower eyelashes and tightening of the lower eyelid muscles which gave her temporary relief for a few months before it recurs again.

She went for six surgeries but the entropion recurred each time due to her aged lax eyelid muscles.

In the end she decided not to go for any more operations because she did not improve.

Entropion is depicted as an inversion (rolling inwards) of the eyelid.
Entropion is a medical disorder in which the eyelid is turned inward so that the eyelashes and skin wipe against the eye surface.

This produces irritation and discomfort.

When the patient has entropion, the eyelid may be turned in all the time or only when the patient blinks hard or squeezes the eyelids shut.

Entropion is more frequent in older adults, and it generally involves only the lower eyelid.

Artificial tears and lubricating ointments can help alleviate symptoms of entropion.

But normally surgery is required to fully correct the disorder.

Left untreated, the entropion can produce damage to the transparent covering in the front part of the eye (cornea), eye infections and vision loss.

It normally involves the lower eyelid and can induce the eyelashes to be up against the eye, which can induce irritation to the eye and even possibly damage the cornea.

Entropion is more frequent in women than in men.

Entropion is a disorder frequent in older adults that produces the eyelid to turn inward.

In mild forms the disorder can be managed with non-surgical methods, such as Botox injections, transparent tape and eye drops, but the only way to totally reverse entropion is through surgery.

1. Cicatricial entropion is produced by scarring of the conjunctiva and relative shortening of the posterior lamella due to chronic autoimmune, infectious, inflammatory, thermal, or traumatic insult.

2. Congenital entropion is a rare disorder featured by shortened posterior lamella, capsulopalpebral fascia dysgenesis, and structural weakness of the tarsal fascia.

An abnormal type of congenital entropion involves a tarsal bend, in which the upper tarsus is bent, inducing the cilia and the eyelid margin to come in direct contact with the eye globe.

3. Spastic entropion forms in reaction to acute ocular irritation or inflammation.

It often happens in patients with underlying introverted eyelid changes and is further aggravated by the corneal irritation produced by the entropion.

4. Involutional entropion is produced by horizontal laxity of the eyelid, attenuation or poor insertion of eyelid retractors, and overriding by the pre-septal orbicularis oculi muscle.

There is:
a. Overriding orbicularis oculi muscle,
b. Eyelid margin entropion, and
c. Relative enophthalmos with deep superior sulcus.

Entropion can be caused by:
1. Muscle weakness
2. Scars or previous surgeries
3. Eye infection
4. Inflammation
5. Developmental complication

The best treatment is surgery to evert the entropion.
TABLE OF CONTENT
Introduction
Chapter 1 Entropion (Inverted Eyelid)
Chapter 2 Causes
Chapter 3 Symptoms
Chapter 4 Dia

• Language: English
• Publisher: Kenneth Kee
• Release date: Jan 11, 2021
• ISBN: 9781005864958

Kenneth Kee

Medical doctor since 1972.Started Kee Clinic in 1974 at 15 Holland Dr #03-102, relocated to 36 Holland Dr #01-10 in 2009.Did my M.Sc (Health Management ) in 1991 and Ph.D (Healthcare Administration) in 1993.Dr Kenneth Kee is still working as a family doctor at the age of 74However he has reduced his consultation hours to 3 hours in the morning and 2 hours inthe afternoon.He first started writing free blogs on medical disorders seen in the clinic in 2007 on http://kennethkee.blogspot.com.His purpose in writing these simple guides was for the health education of his patients which is also his dissertation for his Ph.D (Healthcare Administration). He then wrote an autobiography account of his journey as a medical student to family doctor on his other blog http://afamilydoctorstale.blogspot.comThis autobiography account “A Family Doctor’s Tale” was combined with his early “A Simple Guide to Medical Disorders” into a new Wordpress Blog “A Family Doctor’s Tale” on http://ken-med.com.From which many free articles from the blog was taken and put together into 1000 eBooks.He apologized for typos and spelling mistakes in his earlier books.He will endeavor to improve the writing in futures.Some people have complained that the simple guides are too simple.For their information they are made simple in order to educate the patients.The later books go into more details of medical disorders.He has published 1000 eBooks on various subjects on health, 1 autobiography of his medical journey, another on the autobiography of a Cancer survivor, 2 children stories and one how to study for his nephew and grand-daughter.The purpose of these simple guides is to educate patient on health disorders and not meant as textbooks.He does not do any night duty since 2000 ever since Dr Tan had his second stroke.His clinic is now relocated to the Buona Vista Community Centre.The 2 units of his original clinic are being demolished to make way for a new Shopping Mall.He is now doing some blogging and internet surfing (bulletin boards since the 1980's) startingwith the Apple computer and going to PC.The entire PC is upgraded by himself from XT to the present Pentium duo core.The present Intel i7 CPU is out of reach at the moment because the CPU is still expensive.He is also into DIY changing his own toilet cistern and other electric appliance.His hunger for knowledge has not abated and he is a lifelong learner.The children have all grown up and there are 2 grandchildren who are even more technically advanced than the grandfather where mobile phones are concerned.This book is taken from some of the many articles in his blog (now with 740 posts) A Family Doctor’s Tale.Dr Kee is the author of:"A Family Doctor's Tale""Life Lessons Learned From The Study And Practice Of Medicine""Case Notes From A Family Doctor"

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