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Eye with entropion

Entropion

En esta serie:Ojos llorosos

Un entropión ocurre cuando el párpado se gira hacia el ojo. Las pestañas entonces rozan contra la parte frontal de tu ojo (córnea). Irritación, dolor y lagrimeo del ojo son los principales síntomas. Pegar el párpado a la mejilla, usar ungüento ocular lubricante y, a veces, inyecciones de toxina botulínica ayudan a controlar los síntomas. A menudo, las personas requieren cirugía si el problema persiste.

De un vistazo

  • Entropion is a condition where an eyelid turns inwards towards the eye.

  • This causes eyelashes to rub against the front of the eye, which can be irritating and painful.

  • Entropion mainly affects older people due to muscle weakness around the eyelid.

  • Eye ointment or eyelid taping can help temporarily.

  • Surgery can correct the eyelid position, stopping eyelashes from rubbing on the eye.

  • Untreated entropion can damage the front of your eye and affect eyesight.

Entropion and trichiasis

Eye with entropion

Entropión, también conocido como inversión del párpado

An entropion occurs where an eyelid turns inwards towards your eye. This causes the eyelashes to rub against the front of your eye (the cornea). Trichiasis is the medical term used to describe the eyelashes turning in against the front of the eye. The lower eyelid is most commonly affected.

Entropion symptoms

  • Irritation and pain on the front of the eye.

  • A watery eye.

  • Si no se trata, la parte frontal del ojo (la córnea) puede dañarse (puede desarrollarse una úlcera corneal). La córnea es vital para la visión y un damaged cornea puede afectar la vista.

Entropion causes

In the UK, entropion mainly occurs in older people, associated with weakness of the small muscles around the eyelid.

The main cause of entropion worldwide is trachoma. This is a common infection in tropical countries, which affects the front of the eye. This can lead to scarring and disruption to the eyelid, which makes it turn inwards.

Less common causes include scarring (from eye infections, trauma, Stevens-Johnson syndrome or chemical damage) or muscle spasm (spasticity). Rarely, you can be born with a defect that causes the eyelid to turn inwards.

Entropion treatment

If the cause is likely to be temporary, such as an infection or minor injury, the following may be enough until the condition recovers:

  • Pegar el párpado a tu mejilla; o

  • Injecting the muscles of your eyelid with botulinum toxin.

Lubricating eye ointment is often prescribed in the meantime to protect the front of your eye (cornea).

What is entropion repair surgery?

Si tienes una condición que es poco probable que se recupere por sí sola, se te ofrecerá cirugía. Se realiza una pequeña operación para turn the eyelid back a su posición normal. Esto evita que las pestañas rocen el ojo. La operación suele ser exitosa y previene cualquier daño adicional en la parte frontal del ojo.

La Dra. Mary Lowth es una autora o la autora original de este folleto.

Preguntas frecuentes

Which eyelid is most commonly affected by entropion?

The lower eyelid is most commonly affected by entropion.

What is trachoma and how does it relate to entropion?

Trachoma is a common infection in tropical countries that affects the front of the eye. It can lead to scarring and disruption of the eyelid, causing it to turn inwards, and is the main worldwide cause of entropion.

Can children be born with entropion?

Yes, although rarely, some individuals can be born with a defect that causes the eyelid to turn inwards.

How does botulinum toxin help treat entropion?

Botulinum toxin can be injected into the muscles of the eyelid to help correct entropion, especially if the cause is expected to be temporary.

What is the purpose of lubricating eye ointment when treating entropion?

Lubricating eye ointment is often prescribed to protect the front of your eye (the cornea) from irritation and potential damage while waiting for entropion treatment to take effect or for the condition to recover.

Lecturas adicionales y referencias

  • Khan AZ, Ueland HO, Bohman E, et al; Entropion. Tidsskr Nor Laegeforen. 2024 Dec 16;144(15). doi: 10.4045/tidsskr.24.0191. Print 2024 Dec 17.
  • Deka A, Saikia SP; Botulinum toxin for lower lid entropion correction. Orbit. 2011 Jan;30(1):40-2.
  • Boboridis KG, Bunce C; Interventions for involutional lower lid entropion. Cochrane Database Syst Rev. 2011 Dec 7;(12):CD002221. doi: 10.1002/14651858.CD002221.pub2.
  • Bergstrom R, Czyz CN; Reconstrucción de párpados, Entropión. StatPearls Publishing; 2023.

Historial del artículo

La información en esta página está escrita y revisada por pares por clínicos calificados.

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