Uncovering intermittent entropion

PURPOSE Intermittent entropion may go unnoticed by both patient and physician, in some instances resulting in ocular surface disorders. Unfortunately, the current work-up used to diagnose entropion is not always sufficient to uncover the problem. We present an alternative diagnostic test. CASES Two case reports are presented showing different situations where the current methods for detection of entropion failed and the diagnosis was only made with an alternative diagnostic test. RESULTS The common denominator of both cases is an intermittent entropion which could not be detected by the conventional clinical work-up. Diagnosis was easy however using the "TIE test" described in the text. CONCLUSION The important clues for suspicion of intermittent entropion are an intermittent foreign-body sensation in the eye accompanied with central punctate keratopathy. The TIE test is a simple and useful test for the diagnosis of intermittent entropion.