Involutional lateral entropion of the upper eyelids: a new physical finding in asian patients.
OBJECTIVE
To describe a new physical finding called involutional lateral entropion (ILE) of the upper eyelid found in Asian patients.


METHODS
A prospective case series study of 53 consecutive patients with ILE of the upper eyelid, from the practice of one of the authors (J.G.C.), was performed. All of the patients in this series were Asian. Clinical findings on ocular examination, symptoms, age, and sex were obtained and tabulated.


RESULTS
The mean +/- SD age of patients was 68.9 +/- 10.1 years (range, 41-88 years); 70% were women and 30% were men. All patients presented with in-turning of only the lateral aspect of the upper eyelid bilaterally. The presenting symptoms were foreign-body sensation (85%), tearing (77%), eye redness (34%), eye pain (26%), and itchiness at the lateral canthal area (25%). Clinical findings included lateral dermatochalasis (100%), trichiasis (100%), lateral canthal eyelid laxity (100%), localized lateral conjunctivitis (42%), punctate epithelial keratopathy (11%), blepharitis (11%), and distichiasis (8%).


CONCLUSIONS
We describe ILE of the upper eyelid in Asian patients and explain the anatomic correlates responsible for this condition.
Camara
Jorge G
JG
Department of Ophthamology, St Francis Medical Office Building, 2226 Liliha St, Suite 407, Honolulu, HI 96817, USA. jordegcam@msn.com
Nguyen
Ly T
LT
Sangalang-Chuidian
Marither
M
Ong
Jesus N
JN
Fernandez-Suntay
Jessica P
JP
Zabala
Ronald B
RB
Domondon
Roderick B D
RB
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001208:Asia / Q000453:epidemiology; D019882:Blepharoplasty; D004774:Entropion / Q000175:diagnosis / Q000208:ethnology* / Q000601:surgery; D005143:Eyelids / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011446:Prospective Studies