Practical procedures

Suture repair of entropion

Trevor JP Hodson



An involutional entropion can be quite uncomfortable and can lead to the development of a corneal ulcer. A simple bedside suturing procedure can provide effective relief.

Article Extract

An involutional entropion occurs when the lower eyelid turns inwards, causing the eyelashes to rub against the globe (Figure 1). It is usually seen in older patients, and should be distinguished from an entropion caused by conjunctival scarring resulting from trachoma, ocular pemphigoid or Stevens–Johnson syndrome.