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Entropion

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Oculofacial, Orbital, and Lacrimal Surgery

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Abstract

Entropion is an inturning of the eyelid margin against the cornea. Symptoms include foreign body sensation, secondary blepharospasm, reflex epiphora, ocular discharge, superficial keratopathy, and sometimes corneal stromal scarring. Entropion is classified into several subtypes. These are congenital, involutional, cicatricial, mechanical, and spastic entropion, each with its own specific anatomic etiology and methods of management. Symptomatic treatment consists of topical lubrication, taping of the lid, or temporary botulinum toxin, depending upon the cause of the condition. In most cases, definitive surgical intervention is needed. There are numerous procedures available, depending upon the anatomic cause or degree of eyelid deformity. These vary from simple full-thickness eyelid sutures, to horizontal and/or vertical eyelid tightening, to augmentation of the posterior lamella with any one of a number of different grafts. The success rates are generally excellent.

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  1. University of North Carolina, Durham, NC, USA

    Jonathan J. Dutton

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  1. Jonathan J. Dutton
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  1. Eyelid and Facial Plastic and Reconstructive Surgery and MediSpa, Diseases and Surgery of the Orbit & Lacrimal System Neuro-ophthalmology, Glenview/Chicago, IL, USA

    Adam J. Cohen

  2. Oculoplastics, Orbital, and Cosmetic Facial Surgery, University of Wisconsin, Madison Department of Ophthalmology and Visual Sciences, Madison, WI, USA

    Cat Nguyen Burkat

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Dutton, J.J. (2019). Entropion. In: Cohen, A., Burkat, C. (eds) Oculofacial, Orbital, and Lacrimal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-030-14092-2_11

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