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Ectropion (Eyelid Turning Out)

Ectropion is an out-turning of the eyelid margin that most commonly involves the lower eyelid. Ectropion can cause tearing, redness, and discharge around the eyes and may affect closure of the eyelids. Ectropion may be related to previous cosmetic eyelid surgery, previous skin cancer surgery on the face, or may develop with aging.

ARE YOU READY TO LOOK AS

YOUNG AS YOU FEEL?

Ectropion (Eyelid Turning Out)

Ectropion is an out-turning of the eyelid margin that most commonly involves the lower eyelid. Ectropion can cause tearing, redness, and discharge around the eyes and may affect closure of the eyelids. Ectropion may be related to previous cosmetic eyelid surgery, previous skin cancer surgery on the face, or may develop with aging.

What are the symptoms of ectropion?

Patients with ectropion may or may not be aware of their condition. In cases of severe ectropion, the patient may have a visibly “turned-out” eyelid, making the delicate internal lining of the eyelid visible. Common symptoms are usually related to eye discomfort, such as red or dry eyes that feel irritated. Symptoms also commonly include tearing and difficulty closing the eye completely. Milder cases of ectropion may have similar symptoms but the eyelid may only appear slightly droopy or loose.

Before Ectropion Surgery
After Ectropion Surgery

What are the causes of ectropion?

There are many different causes and types of entropion. The majority of entropion cases result from “involutional” or age-related change, where the lower eyelid becomes lax or loose, decreasing the stability of the eyelid. Additionally, a small band of tissue that aids in movement of the lower eyelid, the capsulopalpebral fascia, can be weak or disinserted. Entropion can also be from “cicatricial” changes or scarring of the eye or internal lining of the eyelid. These previous scars can pull the margin of the eyelid inward toward the surface of the eye. Causes of this internal scarring can range from previous surgery to certain autoimmune disorders.

How is ectropion treated?

There are several different treatment options for ectropion, and treatment is tailored to the individual patient’s needs. In general, ectropion repair surgery requires tightening of the lower eyelid at the outside corner of the eye. Tightening the eyelid can be combined with opening the tear ducts to improve tearing symptoms.

Ectropion repair surgery can also be performed with lower blepharoplasty when indicated. Some types of ectropion may require mid-face elevation at the same time and rarely a skin graft or flap reconstruction.

Ectropion repair is usually covered by insurance and can be performed as an outpatient procedure.

Do you have symptoms of ectropion? Schedule an appointment with one of our skilled doctors for an evaluation and to learn more.

Be sure to visit our

What to Expect

section to learn more about planning for your surgery

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My eyes are beautiful and I now love the way I look! Dr. Samimi is a caring, articulate and talented eye surgeon who listens to his patients. The process was stress free and professional from beginning to end. I never hesitate to tell friends about this wonderful doctor and will continue to return for other treatments in the future.

B.A.