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Ectropion

Ectropion is a condition in which the eyelid turns outward, away from the eyeball. This condition typically affects the lower eyelid. In patients with ectropion, the tears do not drain properly into the inner part of the eye. As a result, the eye does not remain lubricated, can be easily irritated, and is prone to infection. This eye condition is common in older adults and is caused by weakening eyelid muscles and suspension ligaments. Other common causes include stroke, Bell’s palsy, eyelid trauma.

What are the symptoms of ectropion?

Symptoms of ectropion can include the following:

  • An eyelid which appears turned outward from the eyeball
  • Excessive tearing of the eye
  • Dry and painful eyes
  • Chronic conjunctivitis (pink eye)
  • Redness or irritation found in the lid and whites of the eye
  • Keratitis, inflammation of the cornea
  • Mucus discharge

How is ectropion diagnosed?

Ectropion is diagnosed on exam by our eye doctors who examine the tone, shape, tightness and position of the lower eyelid.

How is ectropion treated?

Drops and often eye ointment can be used to control problems for mild ectropion or to temporize until surgery of more notable ectropion is undertaken. 

In order to correct the condition, the lower eyelid is typically shortened and stitched together. This tightens and re-suspends the lid so that it has good tone as it is replaced in position against the lower eyeball. Bilateral ectropion repair in one session is done if needed.

Most patients will feel tightness and mild lid discomfort immediately after the surgery. Post Op Care is simple involving ointment and often skin suture removal in a week. No patch is used.

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