You'll have a few stitches on the outside corner of your eye or just below your lower eyelid. This helps tighten the affected tendons and muscles. If your entropion is age related, your surgeon will likely remove a small part of your lower eyelid. The type of surgery you have depends on the condition of the tissue surrounding your eyelid and on the cause of your entropion. Special transparent skin tape can be applied to your eyelid to keep it from turning in. So this technique isn't a long-term solution. After several months, your eyelid may turn itself back inward. The stitches turn the eyelid outward, and resulting scar tissue keeps it in position even after the stitches are removed. After numbing the eyelid, your doctor places several stitches in specific locations along the affected eyelid. This procedure can be done in your doctor's office with local anesthesia. You may get a series of injections, with effects lasting up to six months. Small amounts of onabotulinumtoxinA (Botox) injected into the lower eyelid can turn the eyelid out. These are available with or without a refractive prescription. Your eye doctor may suggest that you use a type of soft contact lens as a sort of corneal bandage to help ease symptoms. Surgery is generally required to fully correct entropion, but short-term fixes can be useful if you can't tolerate surgery or you have to delay it. But if tissue scarring has occurred, entropion may persist even after the other condition has been treated. When active inflammation or infection causes entropion (spastic entropion), your eyelid may return to its normal alignment as you treat the inflamed or infected eye. Nonsurgical treatments are available to relieve symptoms and protect your eye from damage. The treatment approach depends on what's causing your entropion.
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