How is entropion treated?

In the case of a slight entropion that occurs only temporarily, the eyelid can be put under tension with an adhesive tape on the lower eyelid, so that the edge turns outwards and is brought back into the correct position. Another possibility that is only minimally operative would be the so-called Schöpfer sutures or Snellen sutures, in which a suture is pulled through the eyelid, which is then tied over beads and removed again after about a week.

When does an entropion operation become necessary?

In more severe cases, some muscle fibers of the orbicularis oculi muscle close to the eyelid and, if necessary, a narrow strip of the eyelid skin can be removed surgically. Under certain circumstances, the entropion spasticum can be treated with the nerve toxin botulinum toxin by injection into the orbicularis oculi muscle. However, it is often not possible to achieve a permanent effect, so that instead of regular injections (about every eight weeks) surgery is generally preferable.

Complications that have already occurred, such as inflammation or scars on the cornea, can be treated with eye drops or eye ointments. Surgical treatment of entropion is in most cases the only method for long-term relief of symptoms. The procedure is similar to an eyelid lift.

The aim is to stop the inward rotation of the eyelid. An eyelid lift is a very frequently performed operation. In this procedure, the eyelid is shortened and excess fat and muscle tissue is carefully removed.

The rest is pulled apart a little and then placed back on the eyeball and fixed in place. In most cases, very thin sutures are used, so that no large scar is left at the end. The suture is also known as a creator suture.The procedure is usually performed on an outpatient basis and does not require general anesthesia, but only local anesthesia. The operation usually takes about 1-1.5 hours. The costs are around 1500-2000€, but are partially covered by health insurance.