Entropion is an eyelid dysfunction that occurs when the upper or lower eyelid and eyelashes turn inward towards the eye, causing the lid and lashes to rub against the cornea and conjunctiva.
Causes of Entropion:
relaxation of eyelid tissue due to aging changes
chronic infections with scarring on the inner surface of the eyelid
traumatic eyelid injuries
tumors
Symptoms of Entropion:
excessive tearing
foreign body sensation
sensitivity to light and wind
redness and pain of the eye
impaired vision
Management of Entropion:
Several surgical procedures may be used to tighten the eyelid and its attachments to improve the lid position. Taping the lid or lubricating the eye with drops or ointment may provide temporary relief and protection for the eye.
Ectropion
Ectropion is an eyelid dysfunction that occurs when the lower eyelid turns outward and does not protect the eye. Consequently, the cornea and conjunctiva may become exposed and irritated. Often the edge (margin) of the lower lid is red. Ectropion can affect one or both lower eyelids.
Causes of Ectropion:
relaxation of eyelid tissue due to aging changes
untreated skin cancers or skin disease
trauma
contraction of scar tissue of the surrounding skin
eyelid or facial surgery
can occur secondary to facial nerve palsy
Symptoms of Ectropion:
excessive tearing
mucus discharge
chronic eye infections
eye irritation
impaired vision
sensitivity to light and wind
redness of the lid and/or conjunctiva
Management of Ectropion:
Artificial tears and lubricating ointments can be used to moisten the cornea to prevent dryness. When ectropion is caused by stretching of the eyelid’s supporting structures, surgery may be recommended to repair the involved eyelid and help protect the eye. One of our oculoplastic surgeons can review the best option for your situation.
