Would removing the lower eyelid eyelashes eliminate the need for surgery for the irration brought on by entropien?

Question

Kenneth D. Steinsapir, MD · Answer

The challenge with destroying the eyelashes is that is often also destabilizes the lower eyelid which present it own set of problems.  The long term goal here is eye comfort.  The intact lower margin resting on the eye surface is very important for protecting the integrity and comfort of the eye.  Entropion surgery will do this for you.  The surgery is associated with rapid recovery.  I recommend having this work performed by a fellowship trained oculoplastic surgeon.  The American Society for Ophthalmic Plastic and Reconstructive Surgery maintains a regional directory on their website that can help you find a highly qualified surgeon for this work.

Naveen Somia, MBBS, PhD, FRACS · Answer

Dear GavindarrThe irritation in entropion is due to the eyelashes AND the skin due to the inward turning of the edge of the lower eyelid. Removal of eyelashes is an important temporary step but surgery is necessary for any long lasting reliefYou need to see an eyelid specialist

Mark Mandell-Brown, MD · Answer

Great idea but probably would look better to correct the problem.  There are several good procedures to correct entropian or inner turning of the lower eyelid.  These are typically out patient procedures with quick recovery.  Consult an eye plastic surgeon or face plastic surgeon

Darryl J. Blinski, MD · Answer

With such a limited question I respond by why not repair the entropion? Best to obtain only in person opinions...

Marc Cohen, MD (retired) · Answer

Entropion is when an eyelid turns inward and irritates the eye. It usually happens in the lower eyelid and usually in older patients. The irritation caused by the entropion is caused by the eyelashes and the external eyelid skin. Removing the lashes alone will generally not improve the irritation because the skin is still rubbing on the eye. For this type of problem you should have a consultation with an oculoplastic surgeon in your area.

Would removing the lower eyelid eyelashes eliminate the need for surgery for the irration brought on by entropien?

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Answers (5)

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