Also called entropion surgery. It turns a lid that has rolled inwards back into place, so the lashes stop rubbing the eye.
What it is
When the lower lid rolls inwards, the lashes rub the surface of the eye. That is sore, makes the eye water and red, and over time it can damage the front of the eye. Surgery tightens and repositions the lid.
The operation
Your surgeon tightens the lid and reattaches the muscles that hold it in position, through small cuts in the natural lines below the lashes.
It takes about half an hour under local anaesthetic, and you go home the same day.
What it does not do
Lubricating drops and taping help in the short term, but they do not correct the lid position.
Who it can help
It may suit you if turns a lid that rolls inwards back into place, so the lashes stop rubbing is what you notice most, and you are otherwise well.
- A gritty, sore, watering eye
- Lashes that touch the surface of the eye
- Redness that keeps coming back
- Relief when the lid is taped down
This is usually treated as a medical problem rather than a cosmetic one, because of the risk to the surface of the eye.
Recovery and risks
Everyone heals at their own pace. This is a typical course, and your consultant will tell you what to expect in your case.
The first two days
Swelling and bruising are at their most noticeable. Rest with your head raised and use cold compresses.
The first week
The lids feel tight or gritty. Stitches, where they are used, come out at about seven days.
Weeks two and three
Bruising fades. Many people are back at work and comfortable being seen.
Three to six months
Scars settle and soften. Your final review is around this time.
Possible risks
Every operation carries some risk. For inturned eyelid repair these include:
- Dry or irritated eyes, usually temporary
- A small difference between the two sides
- A visible or thickened scar
- Infection or bleeding, which are uncommon
- Very rarely, a change in your vision
Your surgeon will go through the risks that apply to you, and give you written information to take home.
Insurance
Inturned eyelid repair is sometimes covered when the problem affects your health or your vision. Surgery for appearance alone is not.
Check your cover with your insurer before your consultation, and your surgeon will supply what they need.
Questions patients ask
Is it urgent?
It is not an emergency, but it is worth treating. Lashes rubbing the eye can scar the surface over time.
Does it hurt?
The anaesthetic stings briefly, then the area is numb. Afterwards most people need only paracetamol.
Will it come back?
Sometimes, years later, as the tissues loosen again. The operation can be repeated.
Is it covered?
Usually yes, as it protects the eye. Your consultant can write to your insurer.