What is an Ectropion?
In ectropion, the eyelid turns outward. This is most common in the lower eyelid. Part, or all, of the lower lid is turned outward, leading to a red, crusty, irritated lower lid. This can also lead to tearing and dry eye.
Ectropion Symptoms
The eye may be red, sore and scratchy. Sometimes, the eye can look bad, but the patient may have minimal symptoms.
Ectropion Causes
The most common cause of ectropion is weakening and stretching of the lower eyelid muscles and tendons. This is caused by age, trauma, scarring, previous eyelid surgery, facial palsy, or tumors.
Upper Eyelid Ectropion
Upper eyelid ectropion is less common. In upper lid ectropion, the lids are easily everted. This also can cause red, irritated eyes, and mucous discharge. This condition is sometimes associated with sleep apnea.
If mild, ectropion can be managed with lubricating ointments. If it is more persistent and bothersome, ectropion can often be repaired with a simple outpatient surgical procedure.
Ectropion Surgery
The lax and stretched lid is shortened appropriately and reattached to its proper location in the outer corner of the eye. Usually, there are sutures in the outer corner of the eye, hidden along the crows feet lines. These are removed in a week or so in the office.