# Entropion (inward-turning eyelid) - Category: chronic - Review status: reviewed (every claim checked against a document named on this page) - 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. - Verified date: 2026-08 ## 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. ## Treatment metadata - Hypromellose — eye - Referral & safety-netting (no drug therapy) ## Complete treatment card ```text ENTROPION (INWARD-TURNING EYELID) 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 against the source listed above (2026-08) IS IT THIS? - reference only, to read alongside your own examination SYMPTOMS - what the patient reports (1) - Patients may report eye redness, pain, sensitivity to light and wind, watering, irritation, and reduced vision [blurred vision · eye redness · flatulence · photophobia] SIGNS - what you find (7) - A poor snapback - the lid failing to return to the globe without the patient blinking it back - supports involutional entropion - A distraction test result over 6 mm is considered abnormal - A white subconjunctival line below the tarsal border points to detached lower-lid retractors - Reverse ptosis - the lower lid margin sitting higher than normal - suggests retractor disinsertion [ptosis] - Reduced downward excursion of the lower lid on downgaze indicates retractor disinsertion - Cicatricial entropion shows conjunctival scar tissue, and the lid is hard to evert, unlike involutional entropion where eversion is easy [scarring] - Spastic entropion typically follows ocular irritation, inflammation, or eye surgery [spasticity] TESTS (3) - Entropion is usually a clinical diagnosis with no laboratory testing needed - Cicatricial entropion warrants an infection or autoimmune workup before treatment - Exophthalmometry can check for relative enophthalmos in involutional entropion IF NOT THIS - what else fits (4) - Epiblepharon - Trichiasis - Trachoma - Distichiasis Source StatPearls "Entropion" - disease-level clinical article Status traced to the source above Rx: Ocular lubricant while awaiting lid surgery | Main treatment OCULAR LUBRICANT WHILE AWAITING LID SURGERY 1. HYPROMELLOSE [1st line] Adult 1 or 2 drops into the affected eye as needed - Continuously, until the lid is surgically repaired Peds 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. 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. Why 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. Caution 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. Egypt HYDROBLEND 0.32% EYE DROPS 10*0.5 ML SDU GLOBAL ADVANCED PHARMACEUTICALS... 15.00 EGP GENTEAL EYE DROPS 10 ML NOVARTIS > NO... 18.00 EGP OPTILUBRIC 0.32% EYE DROPS 30*0.5 ML SDU EVA PHARMA 96.00 EGP HYDROBLEND 0.32% EYE DROPS 30*0.5 ML SDU GLOBAL ADVANCED PHARMACEUTICALS... 108.00 EGP MAIN TREATMENT 2. REFERRAL & SAFETY-NETTING (NO DRUG THERAPY) [1st line] Adult 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. - Refer, with advice Peds The drug rows above are instilled, not dosed by weight. The referral threshold and the safety-netting are the same at any age. Source No dose - referral pathway, no medicine given in primary care Why 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. Caution 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. Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy. ``` --- Dawaa Reference is a reference for prescribers, not a medical device, and does not replace clinical judgement. [Privacy policy](/privacy)