H02.01

Clinical Causes: Previous eyelid surgeries, such as blepharoplasty or eyelid reconstruction Trauma or injuries to the eyelid area Inflammatory eye diseases like trachoma or severe conjunctivitis Infections resulting in scarring of eyelid tissues Dermatological conditions that cause skin scarring around the eyelid Aging-related changes leading to skin and tissue scarring

Key Symptoms: Inward turning of the eyelid margin, causing lashes to rub against the eye Persistent eye irritation, redness, and tearing Sensations of a foreign body in the eye Increased risk of corneal abrasions or ulcers due to eyelash contact Eyelid swelling or redness Possible vision disturbances if corneal damage occurs

Diagnosis Path: Diagnosis involves a thorough eye examination by an ophthalmologist or optometrist. The healthcare professional will assess the eyelid position, observe the eyelash contact with the eye, and evaluate any scarring or tissue changes. Additional tests, such as slit-lamp examination or eyelid imaging, may be performed to determine the extent of eyelid deformity and corneal involvement. Medical history, including previous eye surgeries or injuries, is also important in diagnosing cicatricial entropion.

Treatment Protocols: Treatment strategies aim to correct eyelid malposition, alleviate symptoms, and prevent complications. Options include: - Surgical procedures such as eyelid tacking or wedge resection to reposition the eyelid margin - Removal of scar tissue to release the inward turn - Eyelash trimming or epilation to reduce eyelash contact with the eye - Management of underlying inflammatory or infectious conditions - Use of lubricating eye drops or ointments to protect the cornea during healing Early intervention is crucial to prevent long-term corneal damage and preserve vision. The specific treatment plan is tailored based on the severity and underlying cause of the cicatricial change.