Eye lid issues

Trichiasis

• eyelashes that are misdirected against the ocular surface. consequence of eyelid inflammation and scarring 🡪 Constant irritation  

Ectropion

• lids turning outwards with exposure of conjunctival sac
• Rx: topical lubrication with non-urgent referral –  ophthalmologist

Entropion

• lids turning inwards with eyelids abrading cornea)–check condition of cornea with fluorescein.
• Intact.cornea: lubrication with non-urgent referral contact ophthalmologist for time frame
• Epithelial.defect: tape back eyelid away from the cornea and manage as for corneal foreign body