Abstract :
Purpose: To assess the hospital based prevalence, etiological prevalence, clinical features, and sequelae of entropion in patients attending a tertiary care centre over a one-year period.Materials and Methods: A hospital-based cross-sectional study was conducted at the Upgraded Department of Ophthalmology, Lala Lajpat Rai Memorial Medical College, Meerut, from July 2023 to June 2024. A total of 140 patients diagnosed with entropion from among 26,000 outpatient attendees were evaluated. Clinical history, visual acuity, and detailed ocular examination were performed. The prevalence of neglected cases, common presenting complaints, and associated complications were recorded.Results: The prevalence of entropion was 0.54%. Involutional entropion was the most common subtype 83.57%, predominantly affecting individuals above 60 years 85.71%, with a peak in the 71–80 years group 47.14%. A mild female preponderance 56.4% and bilateral involvement 52.5% were observed. The lower eyelid was more commonly affected 44.28% than the upper eyelid 29.28%. The most frequent presenting symptoms included foreign body sensation 82.14%, watering 74.29%, and diminution of vision 55.71%. pseudotrichiasis was present in 70% of cases, while 12.86% were classified as neglected, often presenting with complications such as secondary corneal thinning 83.33% and vascularization 50%.Conclusion: Entropion predominantly affects the elderly and is most often involutional in origin.Prompt diagnosis and intervention are critical to prevent vision-threatening consequences, particularly in neglected cases.This study highlights the need for community awareness and structured screening, especially in the geriatric population.
Keyword :
Entropion, Involutional, Modified jones procedure, Surgical outcomes, Eyelid malposition.