Entropion

Subject: Medical and Surgical Nursing II (Theory)

Overview

Entropion is a unilateral or bilateral inward twisting of the upper or lower lid edge. Because the eyelashes rub against the cornea, it can cause corneal ulcers and create corneal irritation. A trachoma infection, chemical burns, and aging are risk factors for entropion. Entropion's clinical symptoms include the feeling of a foreign body in the eye, discomfort, lacrimation, pain, photophobia, discharge from the eye, superficial opacities, redness, and more. The diagnosis is verified through a physical examination of the eyes and eyelids. In most cases, specific tests are not required. Artificial tears (a lubricant) can lubricate the cornea and relieve dryness. Surgery to realign the eyelid is typically successful.

Entropion

Entropion is a unilateral or bilateral inward twisting of the upper or lower lid edge. Because the eyelashes rub against the cornea, it can cause corneal ulcers and create corneal irritation.

Etiology

  • A senior with relaxed palpebral muscles and skin.
  • Eye and eyelid inflammation
  • After wearing a bandage for a while
  • Trachoma
  • The conjunctiva has been burned
  • Sometimes following eyelid surgery
  • Various other eyelid injuries
  • Congenital

Risk factor for entropion are:

  • Aging
  • Chemical burn
  • Suffering from trachoma

Clinical features

  • Feeling of a foreign body in the eye
  • Discomfort
  • Lacrimation
  • Painful
  • Photophobia
  • Discharging eye
  • Superficial opacities
  • Corneal ulcer
  • Redness
  • Sometime opacity
  • Watery eyes

Exams and tests

The diagnosis is verified through a physical examination of the eyes and eyelids. In most cases, specific tests are not required.

Treatment

  • Artificial tears (a lubricant) can lubricate the cornea and relieve dryness. Surgery to realign the eyelid is typically successful.
  • Surgery may be required in severe cases to safeguard the eye.
  • Simple surgery is used as a form of treatment to remove extra skin from the outer lids. If surgery is carried out before the cornea is harmed, the prognosis is favorable.

Nursing interventions

  • Tell the sufferer not to touch their eyes.
  • Compress warm air to soothe discomfort.
  • Inform the patient of the value of routine eye exams.
  • Tell him to consult a doctor if his eyes become consistently dry or itchy.

Complications

  • Conjunctivitis
  • Corneal abrasions
  • Eye infections
  • Corneal ulcers
  • Keratitis

 

 

 
Things to remember
  • Entropion is a unilateral or bilateral inward twisting of the upper or lower lid edge.
  • Because the eyelashes rub against the cornea, it can cause corneal ulcers and create corneal irritation.
  • A trachoma infection, chemical burns, and aging are risk factors for entropion.
  • Entropion's clinical symptoms include the feeling of a foreign body in the eye, discomfort, lacrimation, pain, photophobia, discharge from the eye, superficial opacities, redness, and more.
  • The diagnosis is verified through a physical examination of the eyes and eyelids. In most cases, specific tests are not required. Artificial tears (a lubricant) can lubricate the cornea and relieve dryness.
  • Surgery to realign the eyelid is typically successful.
Questions and Answers

Entropion is a unilateral or bilateral inward turning of the upper or lower lid margin. Because the eyelashes rub against the cornea, it causes corneal irritation and may result in corneal ulceration.

Etiology

  • An elderly person with relaxed palpebral skin and muscles.
  • Inflammation of the eyelids and eye
  • After a prolonged wearing of a bandage
  • Trachoma
  • Burns of the conjunctiva
  • Sometimes after operation of eyelids
  • Others injuries of the eyelids
  • Congenital

Risk factor for entropion are:

  • Aging
  • Chemical burn
  • Infection with trachoma
  • Foreign body sensation in eye
  • Discomfort
  • Lacrimation
  • Painful
  • Photophobia
  • Discharging eye
  • Superficial opacities
  • Corneal ulcer
  • Redness
  • Sometime opacity
  • Watery eyes

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