Dawaa Reference

chronic

Entropion (inward-turning eyelid)

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 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 · No dose - referral pathway, no medicine given in primary care

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

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

SourceStatPearls "Entropion" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

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

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose 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.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • 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.