PANCE Blueprint EENT (7%)

Entropion (Lecture)

Patient will present as → a 75-year-old with a foreign body sensation and tearing of his right eye. On physical exam you note a red, irritated, right eye in association with an inverted eyelid.

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Entropion (inversion of an eyelid) is caused by age-related tissue relaxation, postinfectious or posttraumatic changes, or blepharospasm.

  • Eyelid turned in
  • Eyelashes rub against the eyeball and may lead to corneal ulceration and scarring
  • Symptoms can include foreign body sensation, tearing, and red eye.

The eyelid of entropion may cause irritation due to rubbing of the eyelashes

Diagnosis is clinical (eyelids turn in)

TX: tear supplements and ocular lubricants at night

  • Definitive treatment is surgery
Ectropion (Prev Lesson)
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