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生活家饮食保健孕期选择食用油的学问邢台市第四病院罕见护理应急预案猪气喘病综合防制技术动物营养系列理想蛋白与氨基酸模式的研究进展皮肤病的诊断包括病史体格检查和必要的实验室检查我国有关食物添加剂营养强化剂食物新资本的治理律例与标准 生活家饮食保健孕期选择食用油的学问邢台市第四病院罕见护理应急预案猪气喘病综合防制技术动物营养系列理想蛋白与氨基酸模式的研究进展皮肤病的诊断包括病史体格检查和必要的实验室检查我国有关食物添加剂营养强化剂食物新资本的治理律例与标准 ENTROPION Prepared by Khairul Anwar Limat Nazri Ahmad Salaamy Mat Kassim Ophthalmology Department 4th Year Zagazig University What is Entropion? Entropion is a medical condition in which the eyelid (usually the lower lid) folds inward. It is very uncomfortable, as the eyelashes rub against the cornea constantly Etiology of Entropion Spastic Entropion Cicatricial Entropion Senile Entropion Congenital Entropion Infantile Entropion Symptoms Redness and pain around the eye Sensitivity to light and wind Sagging skin around the eye Excessive tears Decreased vision, especially if the cornea is damaged 1.Spastic Ectropion Spastic closure of the eyelids allows the orbicularis oculi muscle to overwhelm the oppositional action of the lower eyelid retractors, resulting in an inturning of the eyelid margin and further irritation of the ocular surface from the inturned eyelashes. Occurs when spasm of Muscle of Riolan (due to irritation) and lack of support of lid by the globe. Treatment of spastic entropion may be of: Removal of cause of irritation firstly. Canthoplasty Skin and muscle operation by excision of parts of skin and orbicularis muscle. Wheeler’s operation. Ocular lubrication and tear preparations are helpful for protecting the ocular surface. Small amounts of botulinum toxin (BOTOX?) (approximately 5 U) are quite effective for the treatment of spastic entropion by weakening the pretarsal orbicularis oculi muscle. 2.Cicatricial Entropion Occurs due to cicatrization of palpebral conjunctiva. These patients usually will display scar tissue of the conjunctiva, usually a result of trauma, chemical burns, Stevens-Johnson syndrome, ocular cicatricial pemphigoid (OCP), infections, or local response to topical medication. Examination of the tarsu