Torsion Of Blepharon

Torsion of blepharon (entropy) is a disease at which the free edge of eyelid is wrapped inside together with eyelashes. Eyelashes contact to a conjunctiva and cornea of the eye, causing irritation and reddening. The patient feels pain when blinking, burning sensation and itch, feeling of foreign body in the eye, vision deterioration. There is a photophobia, lacrimation, in severe cases cornea opacification. More often entropion occurs on the lower eyelid as its cartilage which is responsible for the shape is twice smaller than the cartilage of upper eyelid.

The torsion of blepharon is met in elderly people more often. The muscles holding a blepharon weaken with age, the skin stretches and droops. Senile entropion strikes only a lower eyelid, it is shown at the same time on both eyes, becoming more expressed over time.

The congenital torsion of blepharon is caused by genetic disorders of eyeball structure (small size) and eye muscles.

The cicatrix entropion develops because of injuries or burns of the eyes leading to formation of cicatrices. The surgery of “face lifting” which is very popular now can become the cause.

The paralytic torsion of blepharon arises because of paralysis of a eye circular muscle (because of trauma or tumor).

The mechanical torsion of blepharon appears as a complication of tumors when tumor cells invade a blepharon.

The most effective way of treatment of torsion of blepharon is surgical. Various operations are performed: applying of the sutures pulling off a blepharon, excision of narrow skin strip, dissection of eye circular muscle.

Temporarily the condition of the patient can be facilitated with emplastrum which is pasted so that it pulls off the blepharon down. It is possible to cure a small torsion of blepharon completely by means of emplastrum. Soft contact lenses prevent cornea scratching with eyelashes.