H02.016

Clinical Causes: Previous eyelid surgery or trauma Chronic inflammation or infections (e.g., trachoma, conjunctivitis) Blepharitis (eyelid inflammation) Autoimmune conditions affecting the eyelid Age-related changes leading to eyelid scarring Burns or injuries to the eye area Inherited or congenital eyelid abnormalities Previous eyelid tumor removal causing scarring

Key Symptoms: Inward turning of eyelashes, causing discomfort Redness and swelling of the eyelid Excessive tearing or watery eyes Foreign body sensation, as if something is in the eye Pain or irritation, especially during blinking Corneal irritation or abrasions due to eyelashes rubbing against the eye Sensitivity to light Potential vision changes if corneal damage occurs

Diagnosis Path: Diagnosis of cicatricial entropion involves a comprehensive eye examination by an ophthalmologist. Key aspects include: - Visual assessment of eyelid position and eyelashes - Inspection for scarring or inflammation - Evaluation of corneal health for signs of abrasion or damage - Use of eyelid eversion to examine the inward-turning eyelids - Identification of underlying causes such as scarring or inflammation In some cases, additional tests like eyelid imaging or laboratory tests may be performed to determine the cause of scarring.

Treatment Protocols: Treatment options focus on correcting eyelid malposition, alleviating symptoms, and preventing further eye damage. Common approaches include: - **Eyelid surgery (Entropion Repair):** Surgical procedures to remove scar tissue and reposition the eyelid margin outward. - **Eyelash Epilation:** Temporary removal of inward-turned eyelashes to reduce irritation. - **Medication:** Use of antibiotics or anti-inflammatory drugs to treat underlying infections or inflammation. - **Lubricating eye drops or ointments:** To protect the cornea and reduce discomfort. - **Treatment of underlying causes:** Managing infectious or inflammatory conditions contributing to scarring. Early intervention can prevent severe corneal damage and improve patient comfort and vision.