Inward rolling of eyelid margin is known as: March 2013
## **Core Concept**
Entropion refers to the inward rolling or turning of the eyelid margin, which can cause the eyelashes to rub against the cornea, potentially leading to discomfort, vision problems, and corneal damage. This condition is often associated with aging, but it can also be caused by other factors such as scarring, inflammation, or congenital conditions.
## **Why the Correct Answer is Right**
The correct answer, entropion, directly corresponds to the definition of inward rolling of the eyelid margin. Entropion can lead to symptoms like eye pain, tearing, and sensitivity to light due to the abnormal position of the eyelid margin and eyelashes. It involves the inward rotation of the eyelid margin toward the eyeball.
## **Why Each Wrong Option is Incorrect**
- **Option A:** Ectropion is the outward turning or sagging of the eyelid margin away from the eyeball. This condition leads to exposure of the conjunctiva and cornea, causing dryness and discomfort, but it does not involve inward rolling.
- **Option B:** Blepharoptosis refers to the drooping or falling of the upper eyelid due to weakness or paralysis of the muscles that elevate the eyelid or due to mechanical problems with the eyelid. While it affects eyelid position, it does not involve rolling of the eyelid margin.
- **Option C:** This option might seem plausible due to the similarity in names or conditions affecting the eyelids, but entropion specifically refers to the inward rolling.
## **Clinical Pearl / High-Yield Fact**
A key clinical pearl is that entropion can be treated with botulinum toxin injections temporarily to relax the orbicularis muscle or surgically by tightening the eyelid retractors or repositioning the eyelid margin. It's a condition that requires prompt attention to prevent chronic corneal exposure and potential vision loss.
## **Correct Answer:** . Entropion