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

7. Autoimmune Betrayal: Ocular Cicatricial Pemphigoid

Healthcare test, eye exam and woman in optometry clinic for vision, eyesight and optical assessment. Photo Credit: Envato @YuriArcursPeopleimages

In a cruel twist of biology, sometimes the body's immune system mistakenly attacks its own healthy tissues. Ocular Cicatricial Pemphigoid (OCP) is a rare, chronic autoimmune disease that targets mucous membranes, including the conjunctiva lining your eyelids and eye. This sustained internal assault causes progressive inflammation and deep scarring within the eyelid. As this internal scar tissue contracts over months or years, it inexorably drags the eyelid margin inwards. This type of entropion is particularly challenging as it stems from an ongoing systemic disease requiring specialized medical care to manage both the entropion and the underlying autoimmune attack.

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