What are the treatment options?

• Lubricant eye ointment/gel
• Taping of the eyelid to the cheek
• Botox (Botulinum toxin) injection to the lower eyelid
• Surgery

What types of surgery are done for the lower eyelid involutional Entropion?

• Surgery is aimed at the proper eversion of the lower eyelid to a good position. A lower eyelid tightening procedure may also be necessary.
• A skin incision is usually made on the lower eyelid skin.
• Surgery for entropion due to the other causes is usually more complicated, and may involve multiple surgeries.

Aspirin and anticoagulants

• These medications can cause significantly more bleeding during and after the surgery.
• If you take aspirin, or blood-thinning agents such as warfarin, you will need to check with your physician if you could safely stop these drugs.
• Some herbs or health supplements may also thin your blood to make surgery unsafe, please get advice from your doctor if you need to stop them before surgery.

What to expect on the day of the surgery?

• Day surgery procedure.
• A local anaesthetic injection is given to the eyelid area where surgery will be performed.
• You will be moderately sedated but still able to respond and hear instructions given by the surgeon.
• Midway through the surgery, your surgeon will ask you to open your eyes to assess the position of the eyelid.

What to expect post-surgery?

• Usually only mild discomfort after surgery.
• Expect some swelling, bruising and tightness of the eyelids − these will resolve once the wounds heal.
• Infrequently, slight over- or under-correction of the eyelid position might occur and may require additional corrective surgery.