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<p><span style="color: #00826a;"><strong>Entropion</strong></span> is a condition where the entire eyelid rolls inward, not just the skin, causing the eyelid margin, eyelashes, and skin to turn inward as well. This leads to eye irritation, redness, tearing, discharge, or may cause corneal inflammation that can become infected. Therefore, <span style="color: #00826a;">Dr. Fontip Na Pompet, an ophthalmologist at the Eye Clinic, Phyathai 2 Hospital, recommends that if you experience eye irritation or burning caused by abnormal inward eyelash turning, you should see a doctor promptly to prevent corneal injury, which may affect vision in the future.</span></p>
<h2><span style="color: #00826a; font-size: 18pt;">Causes of Entropion</span></h2>
<ul>
<li>Congenital, can occur from the fetal stage</li>
<li>Due to aging, causing the eyelid ligaments to loosen and the muscles that pull the eyelashes to function poorly</li>
<li>Frequent eye squeezing due to eye irritation or pain, causing the eyelashes to retract inward</li>
<li>Scarring on the eyelid after surgery, especially internal scars</li>
<li>Occurs in people with autoimmune diseases, where the body produces antibodies when the eye experiences chronic inflammation, causing the eyelashes to retract inward</li>
<li>Caused by trauma to the eyelid area such as heat, chemicals, or infected wounds</li>
</ul>
<h2><span style="color: #00826a; font-size: 18pt;">Symptoms That Require Medical Attention</span></h2>
<p>When the eyelashes abnormally turn inward, they poke the eye causing irritation, burning, tearing, some may be sensitive to light, have excessive discharge, and frequent blinking. If this irritation is left untreated, it can cause corneal ulcers, severe inflammation, infection, and decreased vision.</p>
<h2><span style="color: #00826a; font-size: 18pt;">Treatment of Entropion</span></h2>
<p>Treatment depends on the symptoms, such as:</p>
<ul>
<li>Using Botox in patients who frequently squeeze their eyes. When experiencing eye pain, burning, or irritation, Botox injections prevent the eye muscles from contracting and turning inward.</li>
<li>In severe cases, ophthalmologists recommend surgery due to loosened muscle ligaments.</li>
<li>However, in patients with autoimmune conditions where the body is sensitive to itself, surgery may worsen the condition and cause more eyelid rolling because the body produces antibodies against itself. These patients require eye drops or oral medication to treat the symptoms.</li>
</ul>
<h2><span style="color: #00826a; font-size: 18pt;">What Happens If Treatment Is Neglected…</span></h2>
<ul>
<li>If entropion is left untreated for a long time, it can cause corneal ulcers, increase the risk of infection, and may lead to loss of the eye.</li>
<li>In some patients, the body’s attempt to repair itself may cause blood vessels to grow into the ulcerated area.</li>
<li>Vision will change; from initially good vision, if left untreated, the cornea may become cloudy, affecting future vision.</li>
</ul>
<p>&nbsp;</p>
<p style="text-align: right;"><span style="color: #00826a;"><strong>Dr. Fontip Na Pompet</strong></span></p>
<p style="text-align: right;">Ophthalmologist specializing in orbital diseases</p>
<p style="text-align: right;">and oculoplastic surgery</p>
<p style="text-align: right;">Eye Center, Phyathai 2 Hospital</p>


Trichiasis can occur in both the upper and lower eyelashes, which not only causes eye irritation and tearing but also poses a risk of infection that may affect vision. Therefore, if you experience these abnormal symptoms, you should promptly see a doctor.

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What to do... when eyelashes curl inward abnormally

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