This guideline last updated 06/05/2022 17:39:46
Eyelids
Entropion
Differential diagnosis
- Eyelid retraction (e.g. Graves’ disease)
- Distichiasis
- Trichiasis
- Dermatochalasis
- Epiblepharon
- Cicatricial conjunctivitis
Possible management by Optometrist
Treatment
- Ocular lubricants for symptomatic relief (drops for use during the day, unmedicated ointment for use at bedtime)
- Tape the eyelid for temporary relief of symptoms
- Epilation of lashes where trichiasis is localised (e.g. in cicatricial entropion)
- Consider therapeutic contact lens (silicone hydrogel soft, rigid limbal or rigid scleral) for temporary relief of symptoms
Advice
- Permanent solution requires surgery
Management Category
- Initial management (including drugs) followed by routine referral
- Congenital entropion does not resolve spontaneously and requires referral for prompt treatment
Possible management by Ophthalmologist
- Everting suture
- Surgery