A rolling inwards of the lower, or rarely upper, eyelid such that the eyelashes come into contact with the eye.
Causes:
Age-related stretching and loss of support of the eyelid tissues.
Scarring of the conjunctiva inside the eyelid that pulls the lid inwards.
Occasionally, irritation in the eye leads to spasm of the eyelid muscle causing the lid margin to turn in
Clinical Features
In-turning of the eyelid
Abrasion of the lashes on the eye
Irritation
Watering
Inflammation of the eye
Risk of corneal ulceration and infection
Management
See ophthalmologist with expertise in eyelid surgery
Surgery is usually required to tighten and reposition the lower eyelid and is normally carried out under a local anaesthetic as a day case
