An entropion is an inwardly turned (inverted) eyelid. The condition occurs primarily as a result of advancing age with consequent weakening of certain eyelid muscles. The imbalance between eyelid muscle groups results in the inward turning of the eyelid. This condition most often affects the lower eyelids, but may also affect the upper eyelids. Entropion repair may be completed with a variety of procedures. Most cases are completed with an incision in the outer corner of the eye to tighten the lower eyelid.
Most patients experience immediate resolution of the problem once surgery is completed with little if any post-operative discomfort. Most cases will require removal of sutures located along the lower eyelashes or the outer corner of the eyelid. Minor bruising or swelling may be expected and will likely resolve in seven to ten days following surgery.
A non-incisional entropion repair, known as a Quickert procedure, may be completed as an in-office procedure. This form of entropion repair requires two or three strategically placed sutures which will evert the eyelid. The procedure can be completed under local anesthesia with little if any discomfort.
The most important drawback of the Quickert procedure is that there is a significantly higher chance of recurrence of the entropion. However, it is an excellent procedure for patients who are not good candidates for procedures under anesthesia.