Ectropion

What is an ectropion?

An ectropion is where the lower eyelid turns outwards away from the eye. Part of the inner surface of the eyelid can be seen. Both eyes are often affected.

What are the symptoms of an ectropion?

• The inner lining of the eyelid that droops forward may become dry and sore.
• Watery eyes. The drooping eyelid may prevent the tears from reaching the tear duct and the eye may become constantly watery.
• Damaged cornea. The eyes may not close properly. Therefore the cornea (the front of the eye) is not fully protected and may get damaged. A corneal ulcer may develop. The cornea is vital for vision and a damaged cornea may affect eyesight.

What is the cause of an ectropion?

In the UK it mainly affects older people where the small muscles around the eyelid become weak. The ageing eyelid stretches and can flop outwards.

It may also be caused by any condition that causes scarring of, or near the eyelid. Generalised weakness of the facial muscles (facial palsy) may also include weakness of the eyelid and cause an ectropion.

What is the treatment for an ectropion?

The usual treatment is an operation to 'tighten' the skin and muscles around the eyelid. The surgery is usually with local anaesthetic and as a daycase.

Most patients experience immediate resolution of the problem once surgery is completed with little if any post-operative discomfort. Most cases will require subsequent removal of sutures located along the lower eyelashes or the lateral corner of the eyelid. Minor bruising or swelling may be expected and will likely resolve in one to two weeks following surgery.