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Entropion Surgery in London

Entropion Surgery London

Correction of rolling in eyelids

Entropion is a condition in which the eyelid turns inwards, causing the eyelashes and eyelid margin to rub against the surface of the eye. This leads to irritation, discomfort, and can even cause a corneal ulcer. Entropion can be triggered by blinking hard or squeezing the eyes, and is most common in older adults and elderly patients. Involutional entropion is a type of entropion that is always present.

Treatment for entropion usually involves surgical intervention, although dry eye drops, lubricating ointments, and botulinum toxin injections can help to relieve symptoms. If left untreated, entropion can cause damage to the front part of the eye, recurrent eye infections, and in some cases, vision loss. Permanent damage can occur due to corneal abrasions, corneal ulceration, and scar tissue from chronic inflammation.

The symptoms caused by are the result of the eyelashes and eyelid margin rubbing against the eye. You may experience:

​Entropion and rolling in of the eyelids can be caused by:

Muscle weakness – The eyelid muscles tend to weaken with age and the Canthal tendons that support the eyelid become more stretched. The lower eyelid connective that supports the eyelids also loosens, which leads to eyelid deformation. This is the most common reason.

Scars and previous surgery – The skin of the eyelid can become scarred due to injury, surgery, chemical burns that cause a change in the natural curvature of the eyelid.

Infection –  In developing countries, the condition known as trachoma is a common cause of internal cataracts. It is widespread in Africa, Asia and the Middle East. Scarring occurs on the inner surface of the eyelid, which causes the eyelid to turn inward and cause entropion and, in severe cases, blindness.

Inflammation _ Eye irritation through dry eye syndrome or inflammation can cause a person to regularly squeeze or rub their eyes on a regular basis. This can cause the eyelid muscles to spasm, which leads to endotropia (spastic endotropia).

There is an increased risk of developing entropion in the following:

Age – As you age the muscles become weaker and the risk of entropion increases, Previous eyelid injury or burns-scarring that forms after an eyelid injury can lead to the development of ectropion.

Trachoma – A trachoma infection can lead to scarring of the inner surface of the eyelid and increase the risk of cicatricial endoprosthesis.

Congenital-rare conditions present at birth are known as congenital ectropion.

It is important to seek immediate care for your entropion if you have any of the following:

Entropion can cause damage to your eyes, leading to signs of injury such as discomfort, irritation, and even a corneal ulcer. In severe cases, it can lead to vision loss, recurrent eye infections, and permanent damage due to corneal abrasions, corneal ulceration, and scar tissue from chronic inflammation. It is important to seek treatment for entropion as soon as possible to prevent these complications.

Ectropion surgery

Why is entropion surgery done

Eyelid surgery, also known as blepharoplasty, is a surgical technique used to correct the horizontal laxity of the eyelid. This allows the lashes to turn outwards and return the eyelid to its normal position, as well as preventing damage to the eye. The rolling in of the eyelid is then corrected. In most cases, this is a permanent solution. For short-term relief until the surgical correction is made, artificial tears may be beneficial for mild cases. Entropion repair is usually performed under local anesthesia.

What are the risks?

Possible risks of blepharoplasty surgery include:

To find out the most applicable risks you should talk to your doctor to understand more about the endoprosthesis surgery as well as the benefits and whether it applies to you. This way you can decide with your doctor whether an endoprosthesis surgery is a good option.

Non-surgical treatments for entropion may provide temporary relief from the rolling in of the eyelids, including:

suturing the lower eyelid to pull the lashes away from the eye.

placing a soft contact lens on the eye to protect it from the ingrowing lashes.

Injecting botulinum toxin below the eyelid to weaken the outer eyelid muscles and roll out the lashes away from the eye. In some cases, these treatments may be used as an alternative to surgery.

How you prepare

Before undergoing entropion surgery, you will meet with your oculoplastic surgeon, who specializes in entropion surgery, to discuss the following:

your medical history, including any previous surgery and current eye conditions; your expectations and an honest discussion of what can be realistically achieved;

a vision examination to check the eyes before surgery; a physical examination of the eyelids to ensure that the procedure is appropriate

Eeyelid photography, which can help with surgical planning and may be necessary for insurance claims.

Your doctor will advise you on which blood thinning medications, such as aspirin, ibuprofen, warfarin, apixiban, or others, should be stopped prior to your entropion surgery, and for how long. Additionally, stopping smoking several weeks before the surgery can help with the healing process after the operation.

Finally, you should arrange for someone to take you home after the procedure and stay with you for the first night afterwards.

What can you expect before the procedure?

Entropion surgery: is often performed as a day case, so you can go home the same day. Your surgeon will inject a local anesthetic into your eyelids to numb the area and may also offer medication through a drip to help you relax. Additionally, you can ask Mr. Ahmad Aziz in the central London clinic any questions you have before the surgery.


What you can expect during the procedure

A smaller procedure for entropion is the placement of sutures in the lower eyelid to turn it outwards. These sutures create scar tissue inside the eyelid, which is usually not visible, to help keep the eyelid in the correct position once the sutures dissolve. This procedure is relatively simple, but the entropion and rolling in of the eyelids may return after a few months.

If the entropion is age-related, your oculoplastic surgeon may remove a small section of the eyelid to make it tighter. This may be accompanied by the placement of sutures on the eyelid to bring it outwards and provide additional support. If the entropion is more severe, an incision is made just under the eyelashes to access the eyelid muscles, which are then tightened to provide a better outward turning of the lashes. The incision is then closed with sutures.

If your entropion is caused by scarring, injury, or a previous surgery, a mucous membrane graft (usually taken from the mouth) may be placed on the inner surface of the eyelid to help the eyelid turn outwards. This is typically done under general anesthesia, with you asleep.

What can expect during the procedure?

After surgery, you will be monitored for any potential complications. Once your condition is stable and your doctor is satisfied with the results, you will be able to go home the same day to begin your recovery process.

After surgery you may temporarily experience:

Your doctor will likely suggest you take the following steps after surgery:

Seek medical attention immediately if you experience any of the following:

What are the results of surgery?

Many patients are satisfied with the results of entropion surgery, which corrects the rolling in of the eyelids and can give the patient a more natural appearance and improved vision. The effects of the surgery can last a lifetime, although in some cases the entropion may recur over time.

Bruising and swelling typically settle within two weeks, resulting in a more natural look which gives the patient confidence when going out in public. The majority of patients will notice that any subtle swelling resolves over a two-month period.

Scars from the surgery can take months to fade fully, but they should be hidden in the skin crease or under the eyelashes and will be well-covered. It is important to protect the eyelids from too much sun exposure, just as you would with the rest of your skin.


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