LecturePatient 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
