Entropion & Ectropion
Entropion
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
- Relaxation of eyelid tissue due to aging changes
- Chronic infections with scarring on the inner surface of the eyelid
- Traumatic eyelid injuries
- Tumors
Symptoms
- Excessive tearing
- Foreign body sensation
- Sensitivity to light and wind
- Redness and pain of the eye
- Impaired vision
Management
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
- 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
- Excessive tearing
- Mucus discharge
- Chronic eye infections
- Eye irritation
- Impaired vision
- Sensitivity to light and wind
- Redness of the lid and/or conjunctiva
Management
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.