Corneal Complications Secondary to Involutional Entropion at Presentation.
Shaun R Parsons1, Micheal A O'Rourke1, Khami Satchi1,2
1Orbital, Plastic and Lacrimal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Victoria, Australia.
Ophthalmic Plastic and Reconstructive Surgery
|May 23, 2022
Summary
Involutional entropion rarely causes significant vision loss. Most patients present with mild corneal issues like superficial punctate keratopathy, indicating early detection is key for managing this eyelid condition.
Area of Science:
- Ophthalmology
- Eyelid Surgery
- Corneal Diseases
Background:
- Involutional entropion is a common eyelid malposition in older adults.
- It can lead to ocular surface irritation and potential complications.
- Understanding corneal involvement at presentation is crucial for timely management.
Purpose of the Study:
- To assess the frequency and significance of corneal complications in involutional entropion.
- To analyze patient demographics and symptom duration in relation to presentation findings.
- To evaluate the impact of involutional entropion on the ocular surface in an Australian cohort.
Main Methods:
- Retrospective analysis of case records from an Oculoplastic Ophthalmology practice over 15 years.
- Inclusion of patients diagnosed with lower eyelid involutional entropion.
- Detailed ophthalmic and corneal examination data collection for all eligible patients.
Main Results:
- A cohort of 203 patients (50.7% male, mean age 75.1 years) was analyzed.
- Superficial punctate keratopathy was observed in 69% of patients at presentation.
- Corneal ulcers occurred in 4% of patients, and 1% experienced vision loss, often with pre-existing corneal issues.
Conclusions:
- Involutional entropion typically presents with mild corneal findings, primarily superficial punctate keratopathy.
- Significant vision loss due to involutional entropion complications is rare.
- Early detection and management are important to prevent severe ocular surface disease.
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