Ectropion occurs when the muscles and tissues supporting the eyelid weaken or become stretched. This condition prevents the eyelid from closing properly, leaving the eye surface exposed. While it typically affects the lower eyelid, it can also occur in the upper eyelid in rare cases. Ectropion may be congenital, age-related, or caused by scarring, nerve damage, or trauma.
Common symptoms of ectropion include redness, irritation, excessive tearing (epiphora), dryness, and a gritty feeling in the eye. Patients may also experience sensitivity to light and recurrent eye infections. In more severe cases, corneal ulcers or vision problems may develop if the condition is left untreated.
Ectropion can result from various causes such as aging, facial nerve palsy (e.g., Bell’s palsy), previous surgeries, burns, or trauma to the face. Chronic inflammation, skin conditions, and congenital defects can also lead to ectropion. Individuals over the age of 60 or those with a history of eyelid surgeries are at a higher risk.
Treatment depends on the severity and underlying cause. Mild cases may be managed with lubricating eye drops, ointments, or temporary taping of the eyelid. Surgical correction is often recommended to restore normal eyelid position, especially when symptoms are severe or persistent. Surgery typically involves tightening the eyelid muscles and may include skin grafts in more complex cases.
Consult an eye specialist if you notice symptoms like excessive tearing, persistent eye redness, or discomfort in your eyelid. Early treatment can prevent complications such as corneal damage or chronic eye infections. Timely medical evaluation is essential for managing ectropion effectively.