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Private surgery to correct eyelids that turn inwards or outwards
Entropion is a condition where the eyelid turns inwards causing the eyelashes to rub against the surface of the eye. If left untreated, the condition can lead to corneal abrasions (scratches on the surface of the eye), scarring, and even vision loss.
Ectropion is the opposite of entropion and occurs when the eyelid droops outwards. This means that the upper and lower eyelids do not meet properly which can lead to problems with tear drainage causing irritation, redness, excessive watering, and dry eyes. It can also make you more likely to get eye infections such as bacterial conjunctivitis.
Entropion and ectropion normally affect the lower eyelids and can occur in one or both eyes. Both conditions can be repaired with surgery. Call or book online today to arrange a consultation to discuss private entropion or ectropion repair with a consultant of your choice at Circle Health Group.
Symptoms of entropion include:
Symptoms of ectropion include:
Entropion and ectropion are normally associated with ageing and are more common in people over sixty years of age. This is because the muscles that control the eyelids weaken as we age.
Entropion may also be caused by:
Ectropion may also be caused by:
At Circle Health Group, your first appointment is very important as it's where we begin to get to know you, discuss your expectations for treatment and encourage you to ask any questions you may have. It is important to us that you are as well-informed and comfortable as possible before, during, and after your treatment, so please ask your consultant any questions you may have.
After making a diagnosis, your consultant will decide whether an entropion or ectropion repair is suitable for you based on your symptoms and diagnosis.
Your consultant will tell you everything you need to do to prepare for your surgery. If there's anything you're not sure about, or if you have any questions about how to prepare for your surgery, speak to your consultant or call the hospital for advice. Being well-prepared for your surgery will help to ease any anxiety you may have as well as allow your surgery and recovery to go more smoothly.
Before your surgery, tell your consultant about any medical conditions or allergies you have and any medication, including over-the-counter medicines you are taking.
Your consultant may tell you to stop taking some medications like blood thinners before your operation. This is to reduce the risk of bleeding during and after your surgery.
Being in optimal health before your surgery can reduce the risk of complications and speed up your recovery.
To make sure you are as healthy as possible before your surgery:
You will need to lie flat and keep still during the operation. If this is difficult for you, please let your consultant know beforehand.
Once the anaesthetic has taken effect, your consultant will remove a small section of your eyelid where the skin is loosest. If there is tightening of the skin or scar tissue, these will be removed, and your consultant may need to use a skin graft to replace the removed tissue. Your consultant will then close the area with stitches.
Entropion or ectropion repair normally takes around 30 minutes per eye.
Your consultant will be able to give you an estimated recovery timeline based on your individual circumstances.
After your surgery, you will remain in the department for a few hours until you are ready to be discharged.
Entropion and ectropion repair are normally done as a day case, meaning you'll be able to go home later the same day.
You will not be able to drive yourself home from the hospital after your entropion or ectropion repair. Please make arrangements for someone to come and collect you, or we can organise a taxi if you prefer.
You can go back to work when you feel ready after your surgery. Avoid strenuous exercise and bending until your stitches are removed (normally around a week after your surgery). Most people return to work around a week to ten days after their entropion or ectropion repair, though you may still have some visible bruising around your eyes at this time.
You can drive when your eyes feel comfortable and you can see normally without any blurring or double vision. This is normally a day or two after your surgery.
Recovery from entropion and ectropion repair is a gradual process that is different for everyone.
You may experience some mild pain and discomfort and your eyelids may be bruised and swollen for a week or two after your operation. Your consultant may prescribe eye drops to help relieve inflammation and reduce the risk of infection. You can also use cold compresses on your eyes to relieve pain and swelling. Take over-the-counter painkillers like paracetamol and ibuprofen if you need to.
Avoid getting your eyelid wet until the stitches are removed in about a week. Don't drink alcohol, wear eye make-up, or expose your face to the sun for a few weeks after your surgery.
Gentle exercise, like walking, is encouraged after your surgery, but check with your consultant when you can start more vigorous exercise after your operation.
Your consultant will explain all the possible risks and complications before your surgery and answer any questions you may have about your procedure. Being as well-informed as possible about what to expect from your surgery will help put your mind at rest and allow you to make an informed decision so please ask any questions you may have.
Possible complications of any surgery include:
Possible complications specific to entropion and ectropion repair include:
The only permanent treatment for entropion and ectropion is surgical repair. If you do not want, or cannot have surgery, there are some short-term solutions available including:
Untreated entropion can cause corneal abrasions and scarring which can lead to vision loss or even blindness.
Rarely, entropion can return several months or even years after surgery. This is because the eyelid muscles get weaker over time. In most cases entropion repair surgery is successful, and the condition is unlikely to return.
Entropion surgery normally takes around 30 minutes per eye.
If you would like to see a consultant or learn more about entropion and ectropion repair, book your appointment online today or call a member of our team directly.