Name of the Procedure:

Repair of Entropion; Excision Tarsal Wedge
Common name(s): Entropion surgery, Tarsal wedge excision

Summary

Entropion surgery involves correcting a condition where the eyelid turns inward, causing the eyelashes to rub against the eye. This is achieved by removing a small, wedge-shaped section of the eyelid to restore its normal position.

Purpose

This procedure addresses entropion, a condition where the eyelid turns inward. The goal is to prevent irritation and damage to the eye surface by repositioning the eyelid and stopping the eyelashes from rubbing against the eye.

Indications

• Persistent eye irritation or discomfort
• Redness and tearing
• Repeated corneal infections or ulcerations
• Scarring or damage to the cornea caused by inward-turned eyelashes

Preparation

• Patients may need to avoid eating or drinking for several hours before the procedure.
• Adjustments to current medications as advised by the doctor.
• A thorough eye examination and possibly imaging tests to assess the structure of the eyelid.

Procedure Description

• The patient is usually given local anesthesia to numb the eyelid.
• The surgeon makes an incision in the eyelid and removes a small, wedge-shaped section from the tarsal plate (a dense, fibrous layer within the eyelid) to correct its positioning.
• The edges of the incision are then stitched together to secure the eyelid in its new position.
• Antibiotic ointments may be applied to prevent infection.

Duration

The procedure typically takes about 30-60 minutes.

Setting

This surgery is often performed in an outpatient clinic or ambulatory surgical center.

Personnel

• Ophthalmic surgeon
• Surgical nurse
• Anesthesiologist (if general anesthesia is needed)

Risks and Complications

• Infection
• Bleeding
• Scarring
• Asymmetrical eyelids
• Recurrence of entropion
• Temporary or permanent changes in eyelid position

Benefits

• Relief from eye irritation and discomfort
• Prevention of further corneal damage
• Improved eye health and vision
• Most patients notice improvement within days to weeks following surgery.

Recovery

• Patients may be advised to use antibiotic ointments and avoid touching the eye.
• Swelling and bruising are common but usually subside within a week.
• Stitches may need to be removed within 7-10 days.
• Follow-up appointments to monitor healing.

Alternatives

• Non-surgical treatments, such as lubricating eye drops and ointments
• Temporary solutions like botulinum toxin injections
• Eyelid taping or use of specialized contact lenses
• Each alternative has its own pros and cons, often providing temporary relief rather than a permanent fix.

Patient Experience

• Some discomfort and swelling post-procedure, manageable with prescribed medication.
• Avoid rubbing the eyes and protect them from irritants.
• Use cold compresses to reduce swelling.
• Most patients experience significant relief and improved comfort after a successful recovery.