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What is Entropion?

Entropion is a condition in which the eyelid is rolled inward toward the eye. It can occur as a result of advancing age and weakening of certain eyelid muscles. Entropion may also occur as a result of trauma, scarring, or previous surgeries. Entropion may also occur in children. This is discussed in more detail in the pediatric section.

A turned in eyelid rubs against the eye, making it red, irritated, painful, and sensitive to light and wind. If it is not treated the condition can lead to excessive tearing, mucous discharge and scratching or scarring of the cornea. A chronically turned in eyelid can result in acute sensitivity to light and may lead to eye infections, corneal abrasions, or corneal ulcers. If entropion exists, it is important to have an oculoplastic surgeon like Dr. Fu to repair the condition before permanent damage to the eye occurs.

Surgical Repairs

There are a number of surgical techniques for successfully treating entropion. The most common surgical treatment involves tightening of the eyelid and its attachments to restore the lid to its normal position. The surgery to repair entropion is usually performed as an outpatient procedure under local anesthesia. Patients recovery quickly using an antibiotic ointment for about one week after surgery. Most patients experience immediate resolution of the problem following surgery.

Non-Incisional Repair

A non-incisional entropion repair, uses sutures, may be performed as an in-office procedure under local anesthesia. This procedure requires several strategically placed sutures which evert the eyelid. The Quickert procedure is an excellent treatment for patients who are not suitable for surgery, or until more definitive surgery can be performed.

As a board-certified, fellowship trained oculoplastic surgeon with extensive training and experience, Dr. Selena Fu customizes each treatment to reflect each patient’s unique anatomy, skin condition, aesthetic concerns and lifestyle— an approach that consistently delivers excellent results for her patients.

Call for a personal consultation today, Dr. Fu will discuss the surgical and non-surgical options that will provide your best possible outcome. Insurance may cover all or a portion of reconstructive eyelid surgeries like entropion repair.

Contact Dr. Selena Fu

What to Expect from Surgical Repairs for Entropion

Surgical repair for entropion is a highly effective procedure designed to correct the inward-turning eyelid, prevent eye irritation, and protect the cornea from further damage. The surgery is typically minimally invasive, performed under local anesthesia, and has a quick recovery time.

1. Before the Surgery

✔ Medical Evaluation – Your doctor will examine your eyelid structure, corneal health, and overall eye condition to determine the best surgical approach.

✔ Discussion of Surgical Options – Your surgeon will explain the different surgical techniques available based on the severity of your entropion.

✔ Pre-Surgery Instructions – You may need to stop certain medications (such as blood thinners) and avoid wearing contact lenses before the procedure.

✔ Arrange for Assistance – Since your vision may be slightly affected after surgery, arrange for someone to drive you home.

2. During the Surgery

⏳ Duration: The procedure usually takes 30 to 60 minutes and is performed as an outpatient procedure.

Common Surgical Techniques

🔹 Eyelid Tightening Surgery

  • The most common procedure, especially for age-related entropion.
  • The surgeon removes a small portion of the eyelid to tighten the skin and muscles.
  • This restores the eyelid to its natural position and prevents it from turning inward again.

🔹 Non-Incisional Suturing (Quickert Procedure)

  • A minimally invasive technique that uses special sutures to evert the eyelid without making any cuts.
  • Performed under local anesthesia in an office setting.
  • Ideal for temporary correction or for patients who are not yet ready for surgery.

🔹 Retractor Reinforcement

  • Strengthens the weak or stretched muscles that cause the eyelid to turn inward.
  • Suitable for cases where muscle weakness is the main cause of entropion.

🔹 Grafting Procedures

  • Used in severe cases where scarring has caused the eyelid to contract.
  • A small skin or mucous membrane graft from another part of the body (e.g., the upper eyelid or inside the mouth) is used to correct the eyelid’s position.
3. After the Surgery

✔ Mild Swelling & Bruising – Some redness, swelling, or bruising is normal and will subside within 1-2 weeks.

✔ Use of Antibiotic Ointment – Your doctor will prescribe an antibiotic ointment to prevent infection and promote healing.

✔ Avoid Rubbing the Eyes – Be gentle with the eyelid area to prevent irritation and allow the sutures to heal properly.

✔ Protect from Sun & Wind – Wear sunglasses to reduce irritation from bright light and wind exposure.

✔ Resume Activities Gradually – Most patients can return to normal activities within a week, but avoid heavy lifting or strenuous exercise for about two weeks.

✔ Follow-Up Appointments – Your doctor will monitor your recovery and remove any sutures if necessary.

4. Possible Risks & Complications

⚠ Temporary Blurred Vision – Some patients may experience mild blurriness, which typically clears up within a few days.

⚠ Dry or Watery Eyes – Some individuals may experience temporary dryness or excessive tearing.

⚠ Mild Asymmetry – In rare cases, there may be slight unevenness in eyelid positioning, which may require further correction.

⚠ Recurrence of Entropion – If the underlying cause (e.g., aging, scarring) persists, entropion may return, requiring additional treatment.

5. Long-Term Expectations
  • Most patients experience permanent relief from entropion after surgery.
  • The success rate of surgical repair is very high (>90%), and few patients require further treatment.
  • Regular eye check-ups can help monitor for any possible recurrence.
Conclusion

✅ Surgical repair for entropion is highly effective and provides immediate relief.

📌 Recovery is quick, with minimal discomfort and a low risk of complications.

💡 If you experience symptoms of entropion, consult an oculoplastic surgeon to discuss treatment options and prevent long-term damage to your eye.

Frequently Asked Questions (FAQ) – Surgical Repairs for Entropion

1. What is entropion surgery?

Entropion surgery is a corrective procedure that restores the eyelid to its normal position when it turns inward, preventing irritation and protecting the cornea from long-term damage.

2. Who needs entropion surgery?

You may need entropion surgery if you experience:
✔ Persistent eye irritation or redness from the eyelid rubbing against the cornea.
✔ Excessive tearing, discomfort, or sensitivity to light and wind.
✔ Chronic eye infections or corneal abrasions caused by inward-turning eyelashes.
✔ No improvement from temporary treatments like lubricating eye drops or skin tape.

3. What causes entropion?

Entropion can be caused by:
✔ Aging – Weakening eyelid muscles lead to eyelid inversion.
✔ Scarring – Injury or previous surgery may cause eyelid contraction.
✔ Congenital conditions – Some people are born with entropion.
✔ Spasms or muscle weakness – Can lead to involuntary eyelid turning.

4. What are the different surgical techniques for entropion repair?

There are several surgical approaches based on the severity and cause:

🔹 Eyelid Tightening Surgery – Removes a small section of the eyelid to tighten it and prevent it from turning inward.
🔹 Non-Incisional Suturing (Quickert Procedure) – Uses stitches to evert the eyelid without cutting.
🔹 Retractor Reinforcement – Strengthens weak eyelid muscles.
🔹 Grafting Procedures – Used in severe cases where scarring has tightened the eyelid.

5. Is entropion surgery painful?

No, the procedure is performed under local anesthesia, which numbs the area. You may feel slight pressure but not pain.

6. How long does entropion surgery take?

The surgery typically takes 30 to 60 minutes and is done as an outpatient procedure, meaning you can go home the same day.

7. What is the recovery time for entropion surgery?
  • Most patients recover within 1-2 weeks.
  • Mild swelling and bruising usually go away within a few days to a week.
  • Complete healing of the eyelid may take up to 4-6 weeks.
8. What should I avoid after surgery?

🚫 Do not rub your eyes to prevent disturbing the healing process.
🚫 Avoid strenuous exercise or heavy lifting for 1-2 weeks.
🚫 Do not wear eye makeup until your doctor advises it is safe.
🚫 Avoid direct sun exposure – wear sunglasses to protect your eyes.

9. When can I return to work or normal activities?

Most patients can return to work within a week, but if your job involves physical activity or exposure to dust and wind, you may need to wait longer.

10. Are there risks or complications with entropion surgery?

While entropion surgery is very safe, some potential risks include:
⚠ Temporary swelling and bruising – Common and resolves within 1-2 weeks.
⚠ Dry or watery eyes – Some patients experience temporary tear imbalances.
⚠ Mild asymmetry – In rare cases, eyelids may heal unevenly.
⚠ Recurrence of entropion – May happen if the underlying cause is not fully corrected.

11. How soon will I see results?

Most patients experience immediate relief after surgery. Swelling may temporarily affect the appearance of the eyelid, but the final results become visible once healing is complete in a few weeks.

12. Will I have scars after entropion surgery?

Scarring is minimal because the incisions are small and well-placed. The eyelid skin heals well, and most scars fade over time.

13. Will my insurance cover entropion surgery?

Since entropion repair is considered a medically necessary procedure, insurance may cover part or all of the cost, depending on your provider. Check with your insurance company for details.

14. Can entropion return after surgery?

Recurrence is rare but possible, especially if caused by progressive aging or scarring. In such cases, a revision surgery may be needed.

15. How can I schedule a consultation for entropion surgery?

If you experience entropion symptoms, contact an oculoplastic surgeon to discuss treatment options. Early intervention helps prevent corneal damage and long-term discomfort.

Conclusion

💡 Entropion surgery is a quick, effective, and minimally invasive procedure that provides lasting relief from eyelid inversion.
✅ Most patients recover within a few weeks and experience significant improvement in eye comfort and health.
📌 Consult with a qualified specialist if you have entropion symptoms to explore your treatment options.