Entropion (Eyelid Rolls Inward)

Shorr FACE Institute

Entropion is a condition in which the eyelid is rolled inward toward the eye. It can occur as a result of advancing age and weakening of certain eyelid muscles. Entropion may also occur as a result of trauma, scarring, or previous surgeries.

What are the symptoms?

A turned in eyelid rubs against the eye, making it red, irritated, painful, and sensitive to light and wind. If it is not treated the condition can lead to excessive tearing, mucous discharge and scratching or scarring of the cornea. A chronically turned in eyelid can result in acute sensitivity to light and may lead to eye infections, corneal abrasions, or corneal ulcers. If entropion exists, it is important to have an oculoplastic surgeon to repair the condition before permanent damage to the eye occurs.

This patient had severe entropion.

After surgery the eyelid is restored to its proper position.

Can entropion be repaired?

Surgical repair - There are a number of surgical techniques for successfully treating entropion. The most common surgical treatment involves surgically tightening of the eyelid and its attachments to restore the lid to its normal position. The surgery to repair entropion is usually performed as an outpatient procedure under local anesthesia. Patients may wear a patch overnight and then use an antibiotic ointment for about one week. Most patients experience immediate resolution of the problem following surgery.

Non-surgical repair - A non-incisional entropion repair, known as a Quickert procedure, may be performed as an in-office procedure under local anesthesia. This procedure requires several strategically placed sutures which evert the eyelid. The Quickert procedure is an excellent treatment for patients who are not suitable for surgery, or until more definitive surgery can be performed. See figure below:

Who Should Perform Entropion Surgery?

When choosing a surgeon to perform entropion surgery, look for a cosmetic and reconstructive facial surgeon who specializes in the eyelids, orbit, and tear drain system. It’s also important that he or she has completed an American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) fellowship. This indicates your surgeon is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery. Dr. Shorr is Director of the Fellowship in Ophthalmic Plastic Reconstructive and Cosmetic Surgery at the Jules Stein Eye Institute, UCLA School of Medicine. He and his associates are board certified ophthalmologists as well as ophthalmic plastic reconstructive and cosmetic surgeons who have completed an ASOPRS fellowship.

Dr. Norman Shorr is an early pioneer and innovator of many cosmetic and reconstructive eyelid, eyebrow, forehead and midface procedures performed today worldwide. He and his associates continue to innovate and contribute to the specialty of cosmetic and reconstructive facial surgery. Call today to schedule your personal consultation!

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We specialize in cosmetic and reconstructive surgery of the eyelids and face, as well as non-surgical cosmetic treatments and services. Our office is conveniently located in Beverly Hills near Los Angeles and bordered by Orange and Ventura Counties. Contact us today!

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