Outward Turning Eyelid (ECTROPION)

Ectropion is an abnormal sagging and outward turning of the eyelid that usually affects the lower eye lids. This condition occurs with age and is usually due to laxity of the eyelid muscles. Other causes of outward turning eyelid include trauma, paralysis, inflammation and scarring processes.

Mild Ectropion of the lower lid

Moderate to severe Ectropion of the lower lid

Patients typically complain of red eyes, irritation, pain, tearing, crusting and discharge. Besides the typical tearing problem, the surface of the eye may be exposed to air and can become dry, irritated and inflamed. If left untreated, permanent damage, eye infection and impaired vision can occur.

Treatment includes lubrication ointment and drops, but surgical repair is often required for definitive repair.

Inward Turning Eyelid (ENTROPION)

Entropion is a condition in which the lower eyelid turns inward, rubbing against the eye. This eye lid condition most commonly occur as a result of age-related weakness of eyelid tissues. Infection and scarring inside the eyelid are other causes of entropion. When the eyelid turns inward, the eyelashes and skin rub against the eye, making it red, irritated and sensitive to light and wind. Patients may complaint of tearing and irritating when they read or look down. In severe cases, the lashes may scratch the cornea, causing an infection, scarring and impaired vision.

The lower eyelid lashes are turned inward and rub against the eye surface

Entropion can also occur intermittently. In such cases, you may notice that the lashes tend to turn in toward the eye with forcible blinking or when you tightly squeeze your eyelids shut.

Treatment for entropion typically includes artificial tears and ointments. Temporary relief may be provided by placing a small stripe of adhesive tape on the skin of the lower lid near the lashes and placing the other end to the upper cheek. This may help prevent the eyelid from rolling inward. Definitive treatment for entropion is surgery.