Inward and Outward Turning of the Eyelid (Entropion and Ectropion)
Turning inward and outward on the eyelid, turning inward is called entropion, and turning outward is called ectropion. It may be congenital, scar tissue or due to old age.
The turning in of the eyelids causes the eyelashes to turn inward and rub against the cornea. It can trigger the formation of wounds on the surface of the eye. The treatment is surgery.
What is the Treatment of Introversion in the Upper Eyelid in the Lower Eyelid?
Turning the eyelid inward and outward is also treated for reasons. These reasons may be related to scar formation.
If there is scar formation, tissue transplantation should be performed after these scars are resolved surgically, inside or outside, and the scars are resolved.
It may be due to old age. If it is due to aging, it is due to the loosening of the connective structures holding the tissues. If the ligament structures are loose, they need to be tightened.
The same is true for the eyelids turning both inwards and outwards. Apart from this, it can be seen in children. Especially in children, we see congenital inward periods of the eyelid.
This is a developmental disorder of muscle structures. Again, it needs to be corrected with surgical interventions. There may be outward turning of the eyelid due to mass causes due to mechanical reasons.
If there is such a reason, the ethological cause is eliminated, the mass is removed, and the ectropion is eliminated. In general, our principles applied in treatment are surgical treatments.
What are the Symptoms of Turning In and Out (Entropion and Ectropion) in the Eyelid?
When the eyelid turns out, the lids turn inwards, and the inward rotation of these lids causes the eyelashes to turn inwards.
If the patient opens and closes the eyelid, the eyelashes rub inward.
This causes scratching of the cornea, infections, severe stinging sensation in the eyes, and the patient may not be able to open his eyes.
In ectripion, the lid turns outwards. Usually we see this on the bottom cover.
The outward rotation of the lower lid also causes the lid's functions related to the tear system to not perform sufficiently, causing the tears to flow outwards, the tears not to be able to fulfill their duties sufficiently in the cornea, and causes dry eye symptoms to occur.
In other words, in both cases, problems threatening the surface of the eye may occur and even vision-related problems may occur. Therefore, it is necessary to treat both of these tables.
Sevim CAKMAK, MD
Eye Diseases Specialist
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