{ "schema_version": 1, "kind": "condition", "id": "entropion", "name": "Entropion (inward-turning eyelid)", "category": "chronic", "sources": "Entropion - StatPearls (NCBI Bookshelf NBK470352) - https://www.ncbi.nlm.nih.gov/books/NBK470352/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD99.01 - condition scope only, no dose · Hypromellose ophthalmic solution, US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) · Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed.", "review_status": "reviewed", "verified_against": "Hypromellose ophthalmic solution, US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) · Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed.", "verified_date": "2026-08", "treatments": [ { "id": 682, "generic": "Hypromellose", "line": 1, "is_adjunct": false, "form": "eye", "strength_mg": null, "adult_dose": "1 or 2 drops into the affected eye as needed", "adult_duration": "Continuously, until the lid is surgically repaired", "dose_source": "Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed.", "rationale": "The article's medical management of entropion is ocular lubrication, artificial tears or contact lenses, used to protect the ocular surface from damage by the lashes; it adds that these simple measures can often break the cycle in the spastic form, where the lid spasm is itself driven by surface irritation. Four hypromellose products are marketed in Egypt.", "cautions": [ "Lubrication buys comfort and protects the surface; the article expects definitive treatment to be directed at the cause, and lid surgery is what stops the lashes rubbing.", "Examine with fluorescein before settling for drops. Lash abrasion that has already reached the cornea is a same-day ophthalmology problem, not a lubricant one.", "Spastic entropion is the form most likely to settle with lubrication, because the spasm feeds on the irritation. Scarring entropion will not.", "Plucking the lashes gives a few weeks of relief and they grow back stubbier; it is not a substitute for referral." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "1 or 2 drops as needed, the same as an adult. An in-turned lower lid in an infant is usually epiblepharon, which is assessed by an ophthalmologist rather than treated with drops alone.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "HYDROBLEND 0.32% EYE DROPS 10*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL ADVANCED PHARMACEUTICALS (GAP) > MONOPHARMA PHARMACEUTICALS", "price_egp": 15.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "GENTEAL EYE DROPS 10 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "NOVARTIS > NOVARTIS SCIENTIFIC OFFICE", "price_egp": 18.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "OPTILUBRIC 0.32% EYE DROPS 30*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EVA PHARMA", "price_egp": 96.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "HYDROBLEND 0.32% EYE DROPS 30*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL ADVANCED PHARMACEUTICALS (GAP) > MONOPHARMA PHARMACEUTICALS", "price_egp": 108.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "entropion" }, { "id": 683, "generic": "Referral & safety-netting (no drug therapy)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Inward turning of the eyelid margin causing lashes to rub the eye surface, most often age-related. A GP can offer lubricant drops for comfort and corneal protection while referring for definitive surgical correction.", "adult_duration": "Refer, with advice", "dose_source": "No dose - referral pathway, no medicine given in primary care", "rationale": "Inward turning of the eyelid margin causing lashes to rub the eye surface, most often age-related. A GP can offer lubricant drops for comfort and corneal protection while referring for definitive surgical correction.", "cautions": [ "The drug rows above are what the treating service gives. They are here so that the referral is an informed one and so the GP can recognise the regimen the patient comes back on - not as permission to start it without the referral.", "RED FLAG - Corneal abrasion or ulceration from inturned lashes, or eye pain with photophobia: refer urgently." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "The drug rows above are instilled, not dosed by weight. The referral threshold and the safety-netting are the same at any age.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "entropion" } ] }