Entropion, (Inverted Eyelid) A Simple Guide To The Condition, Diagnosis, Treatment And Related Conditions【電子書籍】[ Kenneth Kee ]
<p>This book describes Entropion (Inverted Eyelid), Diagnosis and Treatment and Related Diseases</p> <p>Recently I have a 20 year old patient who has bilateral entropion which causes her lower eyelashes to turn inwards and irritate her conjunctiva and also blur her vision.</p> <p>She had laser abrasion of her lower eyelashes done by an eye surgeon which gave her some relief for a few months but unfortunately the eyelashes grew back and irritated her eyes again.</p> <p>She was then referred to an eye surgeon for surgical treatment of her entropion.</p> <p>At the moment she is still recovering from her operation.</p> <p>In fact my own mother had this same problem in her seventies due to aging and the drooping of lax eyelid muscles.</p> <p>She went to an eye surgeon who did a laser removal of her lower eyelashes and tightening of the lower eyelid muscles which gave her temporary relief for a few months before it recurs again.</p> <p>She went for six surgeries but the entropion recurred each time due to her aged lax eyelid muscles.</p> <p>In the end she decided not to go for any more operations because she did not improve.</p> <p>Entropion is depicted as an inversion (rolling inwards) of the eyelid.<br /> Entropion is a medical disorder in which the eyelid is turned inward so that the eyelashes and skin wipe against the eye surface.</p> <p>This produces irritation and discomfort.</p> <p>When the patient has entropion, the eyelid may be turned in all the time or only when the patient blinks hard or squeezes the eyelids shut.</p> <p>Entropion is more frequent in older adults, and it generally involves only the lower eyelid.</p> <p>Artificial tears and lubricating ointments can help alleviate symptoms of entropion.</p> <p>But normally surgery is required to fully correct the disorder.</p> <p>Left untreated, the entropion can produce damage to the transparent covering in the front part of the eye (cornea), eye infections and vision loss.</p> <p>It normally involves the lower eyelid and can induce the eyelashes to be up against the eye, which can induce irritation to the eye and even possibly damage the cornea.</p> <p>Entropion is more frequent in women than in men.</p> <p>Entropion is a disorder frequent in older adults that produces the eyelid to turn inward.</p> <p>In mild forms the disorder can be managed with non-surgical methods, such as Botox injections, transparent tape and eye drops, but the only way to totally reverse entropion is through surgery.</p> <ol> <li> <p>Cicatricial entropion is produced by scarring of the conjunctiva and relative shortening of the posterior lamella due to chronic autoimmune, infectious, inflammatory, thermal, or traumatic insult.</p> </li> <li> <p>Congenital entropion is a rare disorder featured by shortened posterior lamella, capsulopalpebral fascia dysgenesis, and structural weakness of the tarsal fascia.</p> </li> </ol> <p>An abnormal type of congenital entropion involves a tarsal bend, in which the upper tarsus is bent, inducing the cilia and the eyelid margin to come in direct contact with the eye globe.</p> <ol start="3"> <li>Spastic entropion forms in reaction to acute ocular irritation or inflammation.</li> </ol> <p>It often happens in patients with underlying introverted eyelid changes and is further aggravated by the corneal irritation produced by the entropion.</p> <ol start="4"> <li>Involutional entropion is produced by horizontal laxity of the eyelid, attenuation or poor insertion of eyelid retractors, and overriding by the pre-septal orbicularis oculi muscle.</li> </ol> <p>There is:<br /> a. Overriding orbicularis oculi muscle,<br /> b. Eyelid margin entropion, and<br /> c. Relative enophthalmos with deep superior sulcus.</p> <p>Entropion can be caused by:</p> <ol> <li>Muscle weakness</li> <li>Scars or previous surgeries</li> <li>Eye infection</li> <li>Inflammation</li> <li>Developmental complication</li> </ol> <p>The best treatment is surgery to evert the entropion.<br /> TABLE OF CONTENT<br /> Introduction<br /> Chapter 1 Entropion (Inverted Eyelid)<br /> Chapter 2 Causes<br /> Chapter 3 Symptoms<br /> Chapter 4 Diagnosis<br /> Chapter 5 Treatment<br /> Chapter 6 Prognosis<br /> Chapter 7 Entropion Surgery<br /> Chapter 8 Ectropion<br /> Epilogue</p>画面が切り替わりますので、しばらくお待ち下さい。 ※ご購入は、楽天kobo商品ページからお願いします。※切り替わらない場合は、こちら をクリックして下さい。 ※このページからは注文できません。
楽天Kobo電子書籍ストア
楽天 楽天Kobo電子書籍ストア