Ectropion & Entropion

ECTROPION

Ectropion means that the lower eyelid is “rolled out” away from the eye, or is sagging away from the eye. The sagging lower eyelid leaves the eye exposed and dry. If ectropion is not treated, the condition can lead to chronic tearing, eye irritation, redness, pain, a gritty feeling, crusting of the eyelid, mucous discharge, and breakdown of the cornea due to exposure.

What Causes Ectropion

Generally the condition is the result of tissue relaxation associated with aging, although it may also occur as a result of facial nerve paralysis (due to Bell’s palsy, stroke or other neurologic conditions), trauma, scarring, previous surgeries or skin cancer.

What are the Symptoms?

The wet, inner, conjunctival surface is exposed and visible. Normally, the upper and lower eyelids close tightly, protecting the eye from damage and preventing tear evaporation. If the edge of one eyelid turns outward, the two eyelids cannot meet properly and tears are not spread evenly over the eye. Symptoms may include excessive tearing, chronic irritation, redness, pain, a gritty feeling, crusting of the eyelid and mucous discharge.

Can Ectropion be Repaired?

Yes, ectropion can be repaired surgically. Most patients experience immediate resolution of the problem once surgery is completed with little, if any, post-operative discomfort. After your eyelid heals, your eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.

ENTROPION

Entropion means the the lower eyelid in “rolled in” toward the eye. This allows the eyelashes to rub on the cornea, the most sensitive part of your eye. It can cause eye irritation, pain, tearing, and could lead to a corneal abrasion and ulcer, which can permanently damage your vision.

What Causes Ectropion

Entropion is generally caused by laxity of the skin and support tissues of the lower eyelid, as well as a loss of support from the muscles within the eyelid. It may also be caused by scarring of the inside of the eyelid.

What are the Symptoms?

The eyelashes rubbing on the cornea cause tearing, pain and irritation, which is temporarily relieved by pulling down on the eyelid, rolling it back out. Usually the lid will roll back in with blinking. Occasionally, people with put tape on the lid to keep it from rolling in.

Can Entropion Be Repaired?

Yes, entropion can be repaired surgically. Immediate relief of symptoms generally follows surgery, and post-operative discomfort is minimal. After your eyelid heals, your eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.