What is Ectropion?
Ectropion is a condition where the lower eyelid turns outward, away from the eye. Because the eyelid no longer rests properly against the eye, it cannot close completely. This leaves the surface of the eye exposed, which can cause irritation and dryness.
Common Symptoms
- Red, irritated eyes
- Constant tearing or discharge
- Gritty or burning sensation
- Sensitivity to light
- Crusting along the eyelid
- Blurry vision from dryness or tearing
Causes of Ectropion
The most common cause is aging, which leads to loosening of the tissues around the eyelid. Other possible causes include:
- Facial muscle weakness (e.g., facial nerve palsy)
- Scarring from injury, surgery, or burns
- Skin conditions such as dermatitis
- Previous eyelid surgery
- Nerve or muscle problems
Treatment Options
Temporary Relief:
- Lubricating eye drops or ointment
- Eyelid taping for support
- Treatment of skin inflammation or infection
Surgical Repair:
Surgery is the most effective treatment. It is usually done as an outpatient procedure under local anesthesia. Depending on the cause, the surgeon may:
- Tighten the eyelid
- Remove or release scar tissue
- Reposition tendons or muscles
Surgical repair typically provides quick relief, protects the eye, and restores comfort and appearance. Most patients recover within 1–2 weeks.
Risks and Considerations
Ectropion surgery is generally safe, but risks may include:
- Temporary swelling or bruising
- Rare bleeding or infection
- Recurrence or changes in eyelid shape
Summary
Ectropion can cause discomfort, tearing, and vision problems, but it is very treatable. An oculoplastic surgeon can recommend the best treatment plan to protect your eye and improve both function and appearance.
