EyeRounds Online Atlas of Ophthalmology

Contributor: William Charles Caccamise, Sr, MD, Retired Clinical Assistant Professor of Ophthalmology, University of Rochester School of Medicine and Dentistry

*Dr. Caccamise has very generously shared his images of patients taken while operating during the "eye season" in rural India as well as those from his private practice during the 1960's and 1970's. Many of his images are significant for their historical perspective and for techniques and conditions seen in settings in undeveloped areas.

Category: Oculoplastics

Entropion - spastic - left lower lid

Spastic entropion is evident in the photo by the rolling-in of the left lower lid and the rubbing of its lashes against OS. The diagnosis can be missed, since the entropion can be intermittent. To make the entropion evident, ask the patient to squeeze the lids together forcefully. In addition, instilling eye drops - not an anesthetic - into the conjunctival sac may bring out the entropion.

Ophthalmic Atlas Images by EyeRounds.org, The University of Iowa are licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 Unported License.