What is the permanent treatment method for entropion?

The permanent treatment for entropion, a condition where the eyelids roll inward causing the eyelashes to rub against the cornea, is accomplished through surgical techniques that involve repositioning the eyelid margin. The Modified Hotz-Celsus procedure is specifically designed to address this issue by removing a crescent-shaped section of skin from the eyelid and suturing it so that the eyelid is pulled outward, correcting the inversion.

Using 5-0 Vicryl suture is appropriate as this material is strong enough for the delicate eyelid tissue while minimizing the risk of irritation or suture-related complications. This method not only corrects the alignment of the eyelid but also provides a long-lasting solution to the problem, making it a permanent treatment option.

Alternative methods such as simple excision may not be permanent, depending on the extent of the entropion. Cauterization is typically not used as a primary treatment for entropion as it focuses on superficial tissue without addressing the underlying structural problems. Botulinum injections can temporarily alleviate the condition by causing paralysis of the eyelid muscles, but this does not provide a permanent fix and requires repeat treatments. Therefore, the Modified Hotz-Celsus technique remains the definitive surgical intervention for entrop