Entropion Definition By Medical
Entropion definition is a medical condition in the eye when the eyelid (usually the lower eyelid) is folded inwards making the lashes rub against the surface of the eye (the cornea). The friction can cause irritation, redness, and injury in the cornea of the eye.
Entropion, or so-called eyelid retraction, occurs gradually and is unlikely to cause any symptoms at an early stage. As time goes by, any movement of the eyes will cause pain, and the injury to the cornea will get worse.
Most cases of entropion are experienced by elderly people, and in mild conditions, treatment such as artificial tears or ointment ointment is sufficient to relieve symptoms. But in most cases, surgery is the only way to cure entropion.
If not treated, entropion can cause permanent damage to the cornea, eye infections, or even blindness.
Causes of Entropion
Various conditions that cause weakness in the muscles supporting the eyeball have the potential to cause entropion. These conditions include:
- The aging process. Age factor is the most common cause of entropion. As we get older, the muscles of the eyeballs will weaken, so the tendons become loose. Weak muscles and tendons cause the edge of the eyelid to bend inwardly into the eye.
- Trachoma is an infectious infection in the eyes due to bacteria. This infection is spread through the use of towels / cloth alternately. Trachoma will produce scarring in the inner eyelids that trigger the occurrence of entropion.
- The condition of inflamed eyes or dry eyes will trigger the patient to reduce these symptoms by rubbing the eyelid or closing the eyes. Both of these movements can cause the edges of the eyelids to bend rigidly inwards.
- Congenital abnormalities. Congenital abnormalities that can cause enteropion is the presence of additional skin creases in the eyelid so that the lashes lead into the cornea.
- Herpes infection in the eyes or Herpes Zoster Ophthalmicus (HZO) may develop into a variety of disorders, including entropion.
- Scarring or scarring. Scarring of the skin from burns of chemicals, trauma, and surgery can change the eyelid curve to be abnormal, so the eyelid bends inward.
Symptoms of entropion that arise is the impact of continuous friction between the eyelashes and the outer eyelid with the surface of the eye. The sufferer may feel the following signs:
- Sense of prop in the eye
- Irritation or sore eyes
- Red eye
- Watery eyes
- Be sensitive to light and wind
- The eyes give off thick mucus
- Impairment is reduced
If you feel the symptoms above, immediately consult a doctor to prevent more severe damage to the cornea.
Diagnosis of Entropion
Before performing an eye examination, the doctor may ask for some possible causes, such as a history of eye injury, eye pain, or a history of exposure to chemicals.
On physical examination, the doctor may and ask the patient to wink or close his eyes as much as possible. From there the doctor will see the position, muscle strength, and elasticity of your eyelid muscles. The doctor will also examine the tissues around the eyes to check for signs of trauma, scarring, or other conditions such as wounds from previous surgical procedures.
In addition, the doctor may perform a snap test. On this examination the doctor will pinch your eyelids and pull them, then released to see how quickly the eyelids return to all positions. If the elasticity of the eyelid muscle is much decreased, the petals will return to their original position for longer than normal.
Treatment of Entropion
Artificial tears and useful lubricant ointments help to reduce symptoms of entropion. In addition, there are several temporary treatment options that can be used to relieve symptoms and prevent worsening of the disease, such as:
- Soft contact lenses – These lenses are used to protect the cornea, reduce symptoms, and can be obtained with or without a prescription.
- Special skin adhesives – Clear colored adhesive can be attached to the eyelid to prevent it from bending inward.
- Botox – A small amount of botulinum toxin (botox) injection into the inside of the eyelids can help the lids return to their original state. Injections may need to be done several times in a six-month period.
- Stitches to restore folded petals – This procedure will require local drug help before doctors make stitches at several locations adjacent to folded eyelids.
However, the various treatment options above do not work to cure entropion. In most cases, surgery is needed to correct this condition and protect the eyes from damage. The type of operation chosen was also adjusted to the condition of the tissue around the eyes and the cause of the entropion.
If the patient has scar tissue on the inside of the eyelid, has been traumatized, or has surgery before, then the doctor may perform a mucous membrane transplant taken from the tissue on the roof of the mouth. If the entropion is caused by age, then the doctor will take some of the skin on the lower eyelid and make stitches in the outer corner of the eye, precisely at the lower end of the lower eyelid.
This procedure will shorten as well as tighten and strengthen muscles and tendons in the area.
Usually after surgery, the patient will need an antibiotic ointment for the eyes for one week and regular cold compresses to reduce the bruising and swelling that usually occurs afterwards. The eyelid may also feel as if attracted or tight but this condition will improve as the healing process progresses.
Stitches will usually be removed one week after surgery, and swelling and bruising will disappear within two weeks.
Complications of Entropion
If not treated promptly, entropion may cause irritation, corneal ulcers, and infections of the cornea of the eye that will cause mild to severe visual disturbances that are permanent.
Prevention of Entropion
Because entropion is a condition that can not be prevented then all you can do is keep yourself away from the causes of entropion, such as tracheoma infection. The risk of tracheal infection will be high if you experience eye irritation after visiting areas prone to tracheal disease. Immediately check the eye condition to get the appropriate treatment.
In addition, use an eye protective device when working in areas that use a lot of chemicals or other conditions that can harm the eyes.