Treatment

The treatment approach depends on what's causing your entropion. Nonsurgical treatments are available to relieve symptoms and protect your eye from damage.

When active inflammation or infection causes entropion (spastic entropion), your eyelid may return to its normal alignment as you treat the inflamed or infected eye. But entropion may persist even after the other condition has been treated.

Surgery is generally required to fully correct entropion.

Temporary treatments

Short-term fixes can be useful if you can't tolerate surgery or you have to delay it. Effective temporary treatments include:

  • Soft contact lens. Your eye doctor may suggest you use a type of soft contact lens as a sort of corneal bandage to help ease symptoms. These are available with or without a prescription.
  • Stitches that turn the eyelid outward. This procedure can be done in your doctor's office with local anesthesia. After numbing the eyelid, your doctor places several stitches in specific locations along the affected eyelid.

    The stitches turn the eyelid outward, and resulting scar tissue keeps it in position even after the stitches are removed. After several months, your eyelid may turn itself back inward. So this technique isn't a long-term solution.

  • Botox. Small amounts of botulinum toxin (Botox) injected in the lower eyelid can turn the eyelid out. You may get a series of injections, with effects lasting up to six months.
  • Skin tape. Special transparent skin tape can be applied to your eyelid to keep it from turning in.

Surgery

The type of surgery you have depends on the condition of the tissue surrounding your eyelid and on the cause of your entropion.

If your entropion is age related, your surgeon will likely remove a small part of your lower eyelid. This helps tighten the affected tendons and muscles. You'll have a few stitches on the outside corner of your eye or just below your lower eyelid.

If you have scar tissue on the inside of your lid or have had trauma or previous surgeries, your surgeon may use a mucous membrane graft using tissue from the roof of your mouth or nasal passages.

Before surgery you'll receive a local anesthetic to numb your eyelid and the area around it. You may be lightly sedated to make you more comfortable, depending on the type of procedure you're having and whether it's done in an outpatient surgical clinic.

After surgery you might need to:

  • Use an antibiotic ointment on your eye for one week
  • Use cold compresses periodically to decrease bruising and swelling

After surgery you will likely experience:

  • Temporary swelling
  • Bruising on and around your eye

Your eyelid might feel tight after surgery. But as you heal it will become more comfortable. Stitches are usually removed about a week after surgery. You can expect the swelling and bruising to fade in about two weeks.

Jan. 21, 2016
References
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  2. Entropion. American Society of Ophthalmic Plastic and Reconstructive Surgery. http://www.asoprs.org/i4a/pages/index.cfm?pageid=3651. Accessed Nov. 20, 2015.
  3. Boboridis KG, et al. Interventions for involutional lower lid entropion. Cochrane Database of Systematic Reviews. http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD002221.pub2/abstract. Accessed Nov. 20, 2015.
  4. Wright HR. Overview of trachoma. http://www.uptodate.com/home. Accessed Nov. 20, 2015.
  5. Yanoff M, et al., eds. Entropion. In: Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier; 2014. https://www.clinicalkey.com. Accessed Nov. 20, 2015.
  6. Gerstenblith AT, et al., eds. Eyelid. In: The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease. 6th ed. Philadelphia, Pa.: Wolters Kluwer Health Lippincott Williams & Wilkins; 2012. http://www.ovid.com/site/index.jsp. Accessed Nov. 20, 2015.
  7. Robertson DM (expert opinion). Mayo Clinic, Rochester, Minn. Dec. 2, 2015.
  8. AskMayoExpert. Eyelid surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.
  9. Entropion. American Society of Ophthalmic Plastic & Reconstructive Surgery. http://www.asoprs.org/i4a/pages/index.cfm?pageid=3651. Accessed Jan. 14, 2016.
  10. Yanoff M, et al., eds. Entropion. In: Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed Jan. 14, 2016.