Ectropion is an eyelid malposition indicating the lower eyelid is “rolled out” away from the eye, or is sagging away from the eye and the wet, inner surface of the eye (conjunctiva) may be exposed and visible. Normally, the upper and lower eyelids oppose each other, lubricating and protecting the eye. If the edge of one eyelid turns outward, the two eyelids cannot meet properly and tears are not spread evenly over the eye, and the sagging lower eyelid may leave the eye exposed and dry. If the ectropion is not treated, the condition can lead to chronic tearing, eye irritation, redness, pain, a gritty feeling, crusting of the eyelid, mucous discharge, and breakdown of the cornea due to exposure.
What Causes Ectropion?
Generally the condition is the result of tissue laxity associated with aging, although it may also occur as a result of facial nerve paralysis (due to Bell’s palsy,stroke or other nurologic conditions), trauma, scarring, previous surgeries or skin cancer.
Can Ectropion Be Repaired?
Yes, ectropion can be repaired surgically. Most patients experience immediate resolution after surgery with improvement of the symptoms, while experiencing minimal post-operative discomfort. Initially the eyelid may feel tight and slightly unnatural. But after your eyelid heals, your eye will feel comfortable and be protected from corneal scarring, infection, and loss of vision.
Who Should Perform The Surgery?
When choosing a surgeon to perform ectropion repair, look for a cosmetic and reconstructive facial surgeon who specializes in the eyelids, orbit, and tear drain system. Dr. Amadi’s membership in the American Society of Ophthalmic Plastic and Reconstructive Surgery (ASOPRS) indicates he is not only a board certified ophthalmologist who knows the anatomy and structure of the eyelids and orbit, but also has had extensive training in ophthalmic plastic reconstructive and cosmetic surgery.