Understanding Ectropion

A Guide to Outward-Turning Eyelids

Dermatology

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Last updated: Mar 24, 2025

What is Ectropion?

Ectropion is a condition where the lower eyelid turns outward and away from the eye, exposing the inner eyelid surface. This exposure can cause significant discomfort and potential complications if left untreated.

Common Causes

  • Age-related weakness of eyelid tissues (involutional ectropion)
  • Facial paralysis or nerve damage
  • Previous surgery or injury
  • Skin conditions causing tissue shortening
  • Congenital conditions (present from birth)

Symptoms

Primary Symptoms:

  • Visible outward turning of the lower eyelid
  • Red, irritated eyes
  • Excessive tearing (epiphora)
  • Burning sensation

Secondary Symptoms:

  • Eye dryness
  • Light sensitivity
  • Chronic eye irritation
  • Mucous discharge

Diagnosis

Your eye doctor will diagnose ectropion through:

  • Physical examination
  • Assessment of lid laxity
  • Evaluation of tear drainage system
  • Review of medical history

Treatment Options

Conservative Management

  1. Artificial tears and lubricating ointments
  2. Eye drops to reduce inflammation
  3. Regular cleaning of eyelids

Surgical Correction

  • Horizontal lid tightening
  • Canthopexy or canthoplasty
  • Skin grafting (if necessary)

Prevention and Care

  • Protect eyes from wind and sun
  • Maintain good eye hygiene
  • Regular eye examinations
  • Early intervention when symptoms appear

When to Seek Medical Attention

Consult an eye specialist if you experience:

  • Persistent eye irritation
  • Increasing tearing
  • Vision changes
  • Eye pain or redness

Long-term Outlook

With proper treatment, most cases of ectropion can be successfully managed, leading to improved comfort and eye health.

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