David E. Freilich, M.D. Premiere Ophthalmic Plastic Surgeon
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Facial Fillers Help Smooth Fine Lines Learn More
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Eyelid Reconstruction / Skin Cancer Learn More

Entropion

Entropion is a condition in which the eyelid is rolled inward toward the eye. It can occur as a result of advancing age and weakening of certain eyelid muscles. Entropion may also occur as a result of trauma, scarring, or previous surgeries. Entropion may also occur in children. This is discussed in more detail in the pediatric section.

A turned in eyelid rubs against the eye, making it red, irritated, painful, and sensitive to light and wind. If it is not treated the condition can lead to excessive tearing, mucous discharge and scratching or scarring of the cornea. A chronically turned in eyelid can result in acute sensitivity to light and may lead to eye infections, corneal abrasions, or corneal ulcers. If entropion exists, it is important to have a doctor repair the condition before permanent damage to the eye occurs.

Surgical Repairs

There are a number of surgical techniques for successfully treating entropion. The most common surgical treatment involves tightening of the eyelid and its attachments to restore the lid to its normal position. The surgery to repair entropion is usually performed as an outpatient procedure under local anesthesia. Patients recovery quickly using an antibiotic ointment for about one week after surgery. Most patients experience immediate resolution of the problem following surgery.

Non-Incisional Repair

A non-incisional entropion repair, uses sutures, may be performed as an in-office procedure under local anesthesia. This procedure requires several strategically placed sutures which evert the eyelid. The Quickert procedure is an excellent treatment for patients who are not suitable for surgery, or until more definitive surgery can be performed.

Who Should Perform The Surgery?

When choosing a surgeon to perform entropion surgery, look for a cosmetic and reconstructive facial surgeon who specializes in the eyelids, orbit, and tear drain system. Your surgeon’s membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) indicates he or she is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery.

Testimonials
"It was my first time getting Botox and fillers. I was a little nervous at first considering I really don't care too much for needles but I was surprised at how relaxed I was during it all. It went so well and there wasn't any pain like I had expected. Doctor is compassionate and explains things well. Doesn't rush you. I trust his opinion. Excellent surgeon." Maribel T.
"I went to Dr. David Freilich for excision of two approximately one-centimeter benign tumors: one near my eyebrow and one on my forehead. Lucky me! I have to say he is an amazing surgeon. He is very adept at surgery around the eyes and face. He is great at minimizing scars. He specializes in Ophthalmology and reconstructive surgery around the eyes. I will continue to see him in the future for eye exams. I would highly recommend him for any of the services that he offers." Robert G.
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