ENTROPION

usually in lower lid

Clinical feature

• corneal epithelial defect

• irritation

• pannus 

• ulceration

causes

• horizontal lid laxity

• overriding of pretarsal by preseptal orbicularis

• disinsertion of lower lid retractors

• orbital septum laxity

Treatment

conservative

• lubrication

• taping

• soft bandage contact lens

• botulinum toxin

Surgical

• weis procedure: full thickness horizontal lid splitting and insertion of everting sutures

scarring of palpebral conjunctiva

causes

• ocular cicatricial pemphigoid

• trachoma 

• chemical injury

• trauma

treatment

• lubrication

• contact lens

• tapping

• surgery: tarsal fracture with anterior rotation of lid margin in mild cases. In severe cases removal of keratinized conjunctiva and replacing it with grafts