Entropion

by chelseajin

Not really...

Just kidding. A woman we saw in the clinic seemed like she had this going on.

Entropion is a condition that occurs when the lower eye lid starts to curl in, causing irritation to the eye.

The inversion of the lid can be caused by several different things such as muscle weakness, scars, and infections (trachoma). Trachoma is an infection caused by chlamydia trachomatis (the same as the STD) and is written in CMMRS* as the leading cause of preventable blindness in the world. Surprisingly, children are the main reservoir, but unsurprisingly, they spread it by eye secretions wiped on hands and sharing contaminated clothes. Blindness can develop slowly, over a course of 10-15 years.

Entropion is pretty common in the elderly because the muscles around the eye get weaker, the skin gets looser, and you basically lose structural integrity.

This is a textbook photo, you can see the bottom eyelashes have almost been “sucked” in and are pointing upwards when they should be going downwards. Redness is to be expected because it’s a constant irritant. Imagine, having that one rogue eyelash is annoying as hell. What if you had a whole row that were fixed there?

Sources

*- Clinical Microbiology Made Ridiculously Simple by Mark Gladwin and Bill Trattler

This photo is uncredited. There were several sites with the same picture.

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