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.
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.
Diagnosis is clinical (eyelids turn in)
TX: tear supplements and ocular lubricants at night
- Definitive treatment is surgery
Immediate referral to ophthalmology for surgical correction
Prescribe artificial tears and follow up in 3 months
See A for explanation
Prescribe a short course of corticosteroid eye drops
Corticosteroid eye drops are not indicated in the treatment of entropion
Have the patient instill Tobramycin eye drops for 5 days
Antibiotic eye drops are not indicated in the treatment of entropion