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Ectropion : Causes, Types, Symptoms, Diagnosis and Treatment

 What is Ectropion?

Ectropion (ek-TOH-pee-on) is once your lower palpebral turns or sags outward, far from your eye, exposing the surface of your inner palpebra.

This condition will cause eye waterlessness, excessive tearing, and irritation. Ectropion could also be thanks to many factors, together with facial dysfunction and injury. The foremost common cause is muscle weakness or slipping thanks to aging.

If you have got symptoms of ectropion, you must request medical attention. While not treated, ectropion will result in serious issues along with your membrane, and may even cause vision defects.

Eye lubricants will ease symptoms, however surgery is typically necessary to realize full correction. Most UN agencies have the surgery expertise and a positive outcome.

Eyelid ectropion happens once the muscles around your palpebra weaken, inflicting the palpebra to show outward and regress from your eye. This condition is additionally referred to as flipped eyelids or inverted eyelids. It leaves the fragile surface of the inner eye exposed to pollutants, dust, and different irritants.

Ectropion usually affects the lower palpebra. In severe cases, the complete lower palpebral is clothed . In delicate cases, ectropion seems in one tiny phase of the palpebra. Older adults are a lot more susceptible to developing this condition.


Explanation of medical terms and concepts Ectropion

Ectropion (ek-TOH-pee-on) could be a condition during which your lid turns outward. This leaves the inner lid surface exposed and vulnerable to irritation.

Ectropion is additional common in older adults, and it usually affects solely the lower lid. In severe ectropion, the whole length of the lid is clad. In less severe ectropion, only 1 section of the attention lid songs is removed from the eye.

Artificial tears and lubricating ointments will relieve symptoms of ectropion. However, sometimes surgery is required to totally correct the condition.

and Entropion Ectropion refers to a condition in which the eyelid turns out or away from the eye It can cause serious problems with vision and is one of the most common reasons for eyelid surgery Entropion refers to a condition in which eyelashes turn inward toward your eye In severe cases they may actually rub your cornea and tear ducts causing irritation and infection If you suspect that you might have both ectropion and entropion see an ophthalmologist as soon as possible to determine whether your eyes require surgical intervention

in Dogs Ectropion which is sometimes called "lazy eye," can be a temporary problem (known as entropion) or a lifelong condition In either case it causes the eyelids to turn outward exposing the dog's eyes to potential injury and infection One of the main indicators of ectropion in dogs is that one or both eyes appear to have lower lids than normal and may lay flat against their faces

Symptoms Ectropion

Normally once you blink, your eyelids distribute tears equally across your eyes, keeping the surfaces of the eyes greased. These tears drain into tiny openings on the inner part of your eyelids (puncta).

If you've got ectropion, your lower lid pulls far from your eye and tears do not drain properly into the puncta. The ensuing signs and symptoms will include:

  • Watery eyes (excessive tearing). Without proper drainage, your tears may pool and constantly flow over your eyelids.

  • Excessive dryness. Ectropion can cause your eyes to feel dry, gritty and sandy.

  • Irritation. Stagnant tears or status will irritate your eyes, inflicting a burning sensation and redness in your eyelids and therefore the whites of your eyes. 

  • Sensitivity to light. Stagnant tears or dry eyes can irritate the surface of the cornea, making you sensitive to light.

When to see a doctor

See your doctor if your eyes area unit perpetually watering or irritated, or your protective fold looks to be dropping or drooping.

Seek immediate care if you've got been diagnosed with ectropion and you experience:

  • Rapidly increasing redness in your eyes

  • Sensitivity to light

  • Decreasing vision

These are signs and symptoms of cornea exposure or ulcers, which can harm your vision.

Causes Ectropion

The primary reason for ectropion is muscle weakness or tissue relaxation that happens as a part of the conventional aging method. Your risk of developing ectropion will increase with age.

Other triggers include:

  • stroke

  • skin cancer

  • injury

  • scar tissue from injuries or burns

  • growths on the eyelid (either cancerous or benign)

  • birth defects (due to genetic disorders such as Down syndrome)

  • Bell’s palsy — which damages the nerve that controls facial muscles — or other types of facial paralysis

  • prior surgery or radiation treatment of the eyelids

  • rapid and significant weight loss

  • Muscle weakness. As you age, the muscles underneath your eyes tend to weaken, and tendons stretch out. These muscles and tendons hold your lid taut against your eye. After they weaken, your lid will begin to droop. 

  • Facial paralysis. Certain conditions, such as Bell's palsy, and certain types of tumors can paralyze facial nerves and muscles. Facial paralysis that affects eyelid muscles can lead to ectropion.

  • Scars or previous surgeries. Skin that has been broken by burns or trauma, like a bite, will have an effect on the means that your lid rests against your eye. Previous lid surgery (blepharoplasty) will cause ectropion, significantly if a substantial quantity of skin was aloof from the lid at the time of surgery. 

  • Eyelid growths. Benign or cancerous growths on your eyelid can cause the lid to turn outward.

  • Genetic disorders. Rarely is ectropion present at birth (congenital). When it is, it's usually associated with genetic disorders, such as Down syndrome.

Risk factors Ectropion

Factors that increase your risk of developing ectropion include:

  • Age. The most common cause of ectropion is weakening muscle tissue associated with aging.

  • Previous eye surgeries. People who have had eyelid surgery are at higher risk of developing ectropion later.

  • Previous cancer, burns or trauma. If you have had spots of carcinoma on your face, facial burns or trauma, you are at higher risk of developing ectropion. 


Ectropion leaves your cornea irritated and exposed, making it more susceptible to drying. The result can be abrasions and ulcers on the cornea, which can threaten your vision.

Diagnosis Ectropion

Ectropion will typically be diagnosed with a routine eye test and physical. Your doctor could pull on your eyelids throughout the test or raise you to shut your eyes forcefully. This helps him or her assess every eyelid's tone and tightness.

If your ectropion is caused by a scar, tumor, previous surgery or radiation, your doctor can examine the encompassing tissue additionally.

Understanding however alternative conditions cause ectropion is vital in selecting the proper treatment or surgical technique.

Treatment Ectropion

If your ectropion is mild, your doctor might recommend artificial tears and ointments to ease the symptoms. Surgery is generally required to fully correct ectropion.


The type of surgery you have depends on the condition of the tissue surrounding your eyelid and on the cause of your ectropion:

  • Ectropion caused by muscle and ligament relaxation due to aging. Your MD can seemingly take away a tiny part of your lower palpebral at the periphery. Once the lid is sewn back along, the tendons and muscles of the lid are going to be tightened, causing the lid to rest properly. This procedure is mostly comparatively easy. 

  • Ectropion caused by scar tissue from injury or previous surgery. Your sawbones would possibly have to use a cutis, taken from your higher lid or behind your ear, to assist support the lower lid. If you've got facial palsy or important scarring, you would possibly want a second procedure to utterly correct your ectropion.
    Before surgery, you will receive an {area|a neighborhood} anesthetic to numb your lid and also the area around it. you'll be gently insensible victimizing oral or blood vessel medication to form you lighter, reckoning on the sort of procedure you are having Associate in Nursing whether or not it's worn out in a patient surgical clinic. 

After surgery you might need to:

  • Wear an eye patch for 24 hours

  • Use an antibiotic and steroid ointment on your eye several times a day for one week

  • Use cold compresses periodically to decrease bruising and swelling

After surgery you will likely experience:

  • Temporary swelling

  • Bruising on and around your eye
    Your protective fold may feel tight when surgery. however as you heal, it'll become more well-off. Stitches square measure sometimes removed a few weeks after surgery. you'll be able to expect the swelling and bruising to fade in a concerning period of time.

Lifestyle and home remedies

These lifestyle tips may relieve your discomfort from ectropion:

  • Use eye lubricants. Artificial tears and eye ointments will facilitate keeping your tissue layer lubricated and forestall vision-threatening injury. victimizing an eye fixed ointment and carrying a wet protect over your eye is especially helpful at night. 

  • Wipe your eyes carefully. Constantly wiping watery eyes can make your under-eye muscles and tendons stretch even further, worsening your ectropion. Wipe from the outer eye up and in toward the nose.

Preparing for your appointment

If you have signs and symptoms of ectropion, it is possible to begin by seeing your medical care doctor. He or she might refer you to a doctor. The World Health Organization makes a specialty of treating eye disorders (ophthalmologist).

Here's some data to assist you make preparations for your appointment.

What you can do

Before your appointment take these steps:

  • List symptoms you've been having and for how long.

  • Find a photo of yourself before the appearance of your eyelid that you can bring to the appointment.

  • List all medications, vitamins and supplements you take, including the doses.

  • List key personal and medical information, including other conditions, recent life changes and stressors.

  • List questions to ask your doctor.

  • Ask a relative or friend to accompany you, to help you remember what the doctor says.

For ectropion, some basic questions to ask your doctor include:

  • What's the most likely cause of my symptoms?

  • What kinds of tests do I need? Do they require any special preparation?

  • Is this condition temporary or long lasting?

  • Can ectropion damage my vision?

  • What treatments are available, and which do you recommend?

  • What are the risks of surgery?

  • What are the alternatives to surgery?

  • I have these other health conditions. How can I best manage them together?

  • Do you have any brochures or other printed material that I can take with me? What websites do you recommend?

What to expect from your doctor

Your doctor is likely to ask you a number of questions, such as:

  • When did you begin experiencing symptoms?

  • Have your symptoms been continuous or occasional?

  • Have you had any previous surgery or procedures on your eye or eyelid?

  • Have you had any radiation treatments on your head and neck?

  • Have you had any other eye problems, such as an eye infection or an injury?

  • Are you taking any blood thinners?

  • Are you taking aspirin?

  • Are you using any eye drops?

General summary

Ectropion or the rolling out of your eyelid can be temporarily fixed using tape or glue But in some cases surgery is necessary to restore a healthy appearance If left untreated for too long ectropion could cause your eyes to dry out and lead to vision problems

How do you fix ectropion without surgery?

Acne scars are a common problem that can be caused by many factors from genetics to how you take care of your skin Fortunately there is a way to get rid of acne scars without undergoing surgery A number of topical and non-invasive treatment options for improving the appearance of unsightly scars are available such as Retinol cream or Vitamin C serum

How successful is ectropion surgery?

The success of ectropion surgery depends on the extent of the eye problem Ectropion occurs when the eyelids turn outward causing a droopy appearance It can be caused by conditions such as aging and collagen loss or it could arise from injury to the face or eye area says Dr Chan who specializes in oculoplastic surgery at Kaiser Permanente Los Angeles Medical Center Typically he says aging is responsible for most cases of ectropion

What is the most commonly performed procedure to repair ectropion?

There are many causes for the condition of ectropion and not all can be corrected with surgery However when surgical intervention is required to correct or repair Ectropion one of the most common techniques used is a variation of the sliding technique Whether repairing or correcting the condition depends on its severity and type at time of surgery The procedure usually involves a small incision inside the mouth and will involve repositioning some tissue so that it protrudes inwards rather than outwards

What is the difference between ectropion and entropion?

Ectropion and entropion are both conditions of the eyelid Ectropion refers to outward turned eyelids whereas entropion is inward turned eyelids

The common cause of ectropion is one of the most common causes; it's aging The skin begins to loosen in people over age 50 which allows gravity to have a greater effect As people grow older the skin cannot keep their eyes as tight as they need to be

Can ectropion be temporary?

Ectropion usually becomes a more permanent problem as the person ages The condition typically doesn't cause any problems and doesn't require treatment but if it is severe and causes pain or difficulty in chewing plastic surgery can be used to correct the drooping eyelid tissue Though rare it's possible for someone with ectropion to have an infection of the conjunctiva inside the eyelid This type of infection may respond to antibiotic treatment although some cases may require surgery to prevent further damage

Is ectropion serious?

Ectropion is a condition in which the lower eyelid turns out exposing too much of the surface below Though it can occur in both eyes one eye may be more affected than the other The upper eyelid is usually not involved and may appear normal Ectropion can occur on its own or because of another underlying problem—including blepharitis (inflammation of the eyelids) glaucoma and aging

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Ectropion : Causes, Types, Symptoms, Diagnosis and Treatment

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