10 Reasons Your Eyelid is Turning Inward: Uncovering the Causes of Entropion

9. Complications from Previous Eyelid Surgeries (Iatrogenic Entropion)

While eyelid surgery often aims to improve function or appearance, it can, in some instances, inadvertently lead to entropion. This isn't always due to visible external scarring. For example, if too much tissue is removed during a lower eyelid blepharoplasty, or if internal sutures from a ptosis repair create abnormal tension, the delicate balance of forces that keep the eyelid correctly positioned can be disrupted. Excessive internal scarring post-surgery, even if the external incision heals well, can also exert an inward pull. This highlights the intricate nature of eyelid anatomy and the importance of precise surgical technique.

10. Developmental Anomalies: Congenital Tarsal Kink or Retractor Dysgenesis

Beyond a simple extra skin fold in newborns (epiblepharon), other more complex congenital structural problems can cause entropion from birth or early infancy. Conditions like a "tarsal kink," where the eyelid's firm supportive plate (tarsus) is abnormally bent or folded, or "retractor dysgenesis," where the muscles responsible for pulling the lower eyelid down and outwards are improperly developed or attached, can lead to an inherent inward rotation of the eyelid margin. These are fundamental architectural issues within the eyelid's core structure, often requiring specialized pediatric ophthalmic surgical intervention to re-establish normal anatomy.