Other Procedures
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Entropion
Entropion is an eyelid condition characterized by the inward rolling or inversion of the eyelid. This causes the eyelashes and skin to rub against the eye surface, leading to discomfort, irritation, redness, and potential damage to the cornea.
Entropion can occur due to various factors, including age-related changes in the eyelid tissues, weak eyelid muscles, scarring from previous surgeries or trauma, or certain genetic conditions. Additionally, long-term exposure to ultraviolet (UV) radiation or chronic eye infections can contribute to the development of entropion.
Ectropion
Ectropion occurs when the lower eyelid droops or sags away from the eye. This unnatural position of the eyelid can disrupt the normal functioning of the tear drainage system, resulting in excessive tearing, dryness, irritation, and redness. In addition, the exposed conjunctiva and inner tissues become vulnerable to infection and damage from environmental factors.
Ectropion can be caused by a combination of factors such as age-related changes in the tissues and muscles around the eye, facial nerve paralysis, scarring from previous surgeries or trauma, or simply the natural laxity of the eyelid tissues. Some individuals may also develop ectropion as a result of certain skin conditions or underlying health issues.
Enucleation and Evisceration
Enucleation is a surgical procedure in which the entire eyeball is removed, including the sclera (white part of the eye), conjunctiva, and all other associated tissues. This procedure is typically performed when the eye has a tumor, severe trauma, or an irreparable disease that cannot be treated with other methods. After the enucleation, an implant is placed in the eye socket to maintain its shape.
Evisceration, on the other hand, involves removing the contents of the eye while leaving the scleral shell intact. During the procedure, the inner contents of the eye, including the lens, vitreous humor, and retina, are carefully removed. The scleral shell is then preserved and fitted with an implant to maintain its shape and function.
Other Procedures
Frequently Asked Questions
How can Entropion and Ectropion be treated?
Both conditions may be corrected surgically by tightening the eyelid and its attachments. This procedure restores the integrity of the eyelid. These procedures are usually performed as an outpatient procedure. Some swelling, bruising, and soreness can be expected for one week. Recurrence of these conditions is possible if not treated appropriately.
How can Enucleation or Evisceration be treated?
During surgery, Dr. Linder will remove part or all of the eye (enucleation or evisceration). A spherical implant will be placed to give the socket shape. Six weeks after surgery, a prosthetic eye will be made. They can look very natural, and in most cases, movement of the prosthesis is good. Today, most prostheses are made of acrylic material. Many people have great success and wear artificial eyes for many years without side effects.
Can I drive myself home after surgery?
No. Regardless of the procedure, Dr. Linder and the surgical facility will only release patients to a friend, relative, or other designated driver. This person is required to drive you to surgery, wait for you in the waiting room, and then drive you home. Even if you feel well enough to drive, it’s important to take precautions, especially during the first few days after your surgery.
Is there anything special I need to do prior to surgery?
On the day of your surgery, there are two important things you must do. 1.) Do not eat or drink 8 hours prior to your surgery, and 2.) Arrange transportation to and from your surgery. Your transportation must be with you at check-in, wait for you in the waiting room during your procedure, and then drive you home.
Five to seven days prior to surgery you need to stop taking any aspirin products and blood thinners. If you are not on a prescription blood thinner you just make sure you don't take any products with aspirin in them. (Aspirin, Aleve, Ibuprofen, BC Powder, Fish Oil, etc. Tylenol/acetametaphine products are OK.)
If you are on prescription blood thinners, you will need a cardio clearance from the doctor who prescribes them stating that they approve you to quit the medicine five days prior to surgery or however many days they feel you are safe to be off of the medicine. Our office helps you with this. Make sure to let us know which blood thinner you take and what doctor prescribes them.