Entropion & Ectropin

As you age, the major tissues and elasticity that support the eyelid can loosen, causing the eyelids to droop, turn outward, or turn inward. An eyelid that does not function properly can lead to ocular issues and damage. When an eyelid is turned outward, it can lead to chronic tearing because the tear duct cannot properly drain the tears and fluid in the ocular space. When an eyelid is turned inward, it can irritate the eye due to the eyelashes rubbing against the surface of the eye.

Entropion

Entropion is an eyelid dysfunction that occurs when the upper or lower eyelid and eyelashes turn inward towards the eye, causing the lid and lashes to rub against the cornea and conjunctiva.

 

Causes of Entropion:

  • Relaxation of eyelid tissue due to aging changes
  • Chronic infections with scarring on the inner surface of the eyelid
  • Traumatic eyelid injuries
  • Tumors

Symptoms of Entropion:

  • Excessive tearing
  • Foreign body sensation
  • Sensitivity to light and wind
  • Redness and pain of the eye
  • Impaired vision

Management of Entropion:

Several surgical procedures may be used to tighten the eyelid and its attachments to improve the lid position. Taping the lid, sutures, or lubricating the eye with drops or ointment may provide temporary relief and protection for the eye. If you are experiencing any of the above symptoms, call Tidewater Eye Centers today to schedule a consultation with one of our surgeons.

Ectropion

Ectropion is an eyelid dysfunction that occurs when the lower eyelid turns outward and does not protect the eye.  Consequently, the cornea and conjunctiva may become exposed and irritated.  Often the edge (margin) of the lower lid is red.  Ectropion can affect one or both lower eyelids.

Causes of Ectropion:

  • Relaxation of eyelid tissue due to aging changes
  • Untreated skin cancers or skin disease
  • Trauma
  • Contraction of scar tissue of the surrounding skin
  • Eyelid or facial surgery
  • Can occur secondary to facial nerve palsy

Symptoms of Ectropion:

  • Excessive tearing
  • Mucus discharge
  • Chronic eye infections
  • Eye irritation
  • Impaired vision
  • Sensitivity to light and wind
  • Redness of the lid and/or conjunctiva

Management of Ectropion:

Artificial tears and lubricating ointments can be used to moisten the cornea to prevent dryness. When ectropion is caused by stretching of the eyelid’s supporting structures, surgery may be recommended to repair the involved eyelid and help protect the eye. If you are experiencing any of the above symptoms, contact Tidewater Eye Centers today to schedule a consultation with one of our highly trained surgeons.