Orbit and ocular adnexae

Lid Malpositions

Entropion

Classification

  • Involutional (due to increasing lid laxity)
  • Cicatricial: often in associated with periocular skin disease or scarring
  • Spastic
  • Congenital (eg. epiblepharon)

Involutional entropion

Contributing factors

  • Lower lid laxity
  • Over-riding of the preseptal orbicularis over the pretarsal orbicularis
  • Dehiscence of…
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