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 lashes.

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)
(Next Lesson) Hordeolum (ReelDx + Lecture)
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