Workup
Laboratory Studies
Very few laboratory ancillary studies are required in the workup of entropion.
For patients with a cicatricial entropion picture in whom ocular cicatricial pemphigoid is suspected, an autoimmune process should be ruled out by testing for antibasement membrane antibodies on a section of conjunctiva obtained during a biopsy.
For patients with involutional entropion it is helpful to document exophthalmometry readings to determine if relative enophthalmos is present.
It is wise to examine the mouth of patients with cicatricial entropion, for the purpose of detecting oral mucus membrane lesions and also to verify the presence of adequate mucus membrane or hard palate if grafting procedures are required.
Media Gallery
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Involutional entropion. Note overriding orbicularis oculi muscle, eyelid margin entropion, and relative enophthalmos with deep superior sulcus.
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Involutional entropion. Correction of entropion with eyelid retractor reattachment and lateral canthopexy.
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Cicatricial entropion of upper eyelid. Note eyelid margin inversion.
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Cicatricial entropion of the upper eyelid with eyelid everted. Note scar tissue involving tarsal conjunctiva.
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Left lower eyelid cicatricial entropion with lower eyelid retraction.
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Left lower eyelid posterior lamellar cicatrix
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Repair of left lower eyelid cicatricial entropion and retraction with cicatrix release and hard-palate mucosal graft.
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