II. Epidemiology

  1. Most often occurs in patients over 50 years old

III. Causes

  1. Weakening of support layers of lower lid
  2. Trachoma (rare in United States)
    1. Results in palpebral Conjunctiva scarring
    2. Can affect both upper and lower lids

IV. Symptoms

  1. Asymptomatic unless Trichiasis occurs

V. Signs

  1. Lid turns inward toward globe
  2. Lower lid most often affected

VI. Complications: Trichiasis

  1. Lash margins turn inward and rub against Cornea
  2. Very symptomatic

VII. Management

  1. Surgical repair of Entropion if Trichiasis occurs

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