Dr Julia Sen, Consultant Ophthalmic Plastic, Reconstructive & Cosmetic Surgeon
    Dr Julia Sen, Consultant Ophthalmic Plastic, Reconstructive & Cosmetic Surgeon

      ECTROPION

      What is an Ectropion?

      An ectropion is where the lower eyelid is everted, turning away from the eye resulting in watering because the tear duct is not able to collect tears. The eye itself may become dry, red and irritable however because of exposure of its surface to the elements.

      What causes Ectropion?

      Laxity of the eyelids, most commonly caused by advancing age is the most common cause. Laxity can also result from facial nerve trauma or compression (Bell’s palsy). The lower lid can also be pulled into an ectropic position by scarring from skin disorders (e.g. eczema) or trauma (including surgery).

      Treatment

      If the degree of ectropion is mild and causing few or no symptoms, no treatment is necessary. If the eye becomes sore or the watering is problematic, the eyelid can be repositioned. This would require an operation usually performed under a local anaesthetic as a day case procedure (you would not be admitted to hospital overnight) taking less than one hour, although in cases of scarring or facial nerve palsy this may take longer.

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