This is different from when an extra fold of skin on the lower eyelid causes lashes to turn in towards the eye (epiblepharon).[2] In epiblepharons, the eyelid margin itself is in the correct position, but the extra fold of skin causes the lashes to be misdirected.Entropion can also create secondary pain of the eye (leading to self trauma, scarring of the eyelid, or nerve damage).[4] Symptoms of entropion include: Treatment is a relatively simple surgery in which excess skin of the outer lids is removed or tendons and muscles are shortened with one or two stitches.[9] Shar Peis, who often are affected as young as two or three weeks old, respond well to temporary eyelid tacking.