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Eyelid problems


Structure: The supporting structure of the lower eyelid may be likened to a hammock, with a cartilage-like central stiffener element (tarsal plate) attached by two tendons (canthal tendons) to the socket bone on either side of the eye.

If the tendons become stretched due to wear-and-tear or from trauma or even other eyelid surgery, the lid may lose its normal adherence to the eye surface and sag outward, a condition known as ectropion.

Ectropion: an outwardly turned or sagging lower eyelid. The sagging lower eyelid leaves the eye exposed, and as a result excessive watering is common with ectropion. If it is not treated, the condition can lead to crusting of the eyelid, mucous discharge, and irritation of the eye. A serious inflammation could result in damage to the eye. Ectropion can affect one or both of the lower eyelids.


Normally, the upper and lower eyelids close tightly, protecting the eye from damage and preventing tear evaporation. If the edge of one eyelid turns outward, the two eyelids cannot meet properly, and tears are not spread over the eyeball. wind and dust may dry out and irritate the delicate tissue lining the back of the exposed eyelid.

This may lead to irritation, burning, a gritty, sandy feeling, excess watering, visible outward turning of the eyelid, and redness of the lid and conjunctiva.

Tearing develops when the tear duct drain on the edge of the eyelid drifts away from the eyeball and can no longer pick up the moisture.

Corneal dryness and irritation may lead to eye infections, corneal abrasions, or corneal ulcers. Rapidly increasing redness, pain, light sensitivity, or decreasing vision should be considered an emergency in a person with ectropion.

Treatment: Artificial tears and lubricating ointments can be used to moisten the cornea to prevent dryness of the cornea. Ectropion eyelid surgery is designed to tighten the stretched tendons and shorten the stretched lid.

Cicatricle ectropion indicates a condition in which the skin below the eyelid has been scarred and tightened, thus exerting a constant downward pull on the eyelid support system. In advanced cases, a skin graft may be necessary.

Ectropion can be diagnosed with an eye exam. If you are concerned about your eyelids, call our office today for an appointment

Entropion: refers to a condition in which your eyelid rotates inward. Your eyelashes rub against your eye and cause redness, irritation, and abrasions on the cornea of your eye. Entropion is a common condition among the elderly. The lower eyelid is most often affected, and it can occur in one or both eyes.

Most cases of entropion are due to relaxation of the tissues of the eyelid as a result of aging. Some cases result from scarring of the inner surface of the eyelid caused by chemical and thermal burns, previous surgery, inflammatory diseases such as ocular pemphigoid, or allergic reactions. Rarely entropion can be present at birth.

Treatment: Entropion should be repaired surgically before the rubbing damages the cornea by causing infection and scarring. Prior to surgery, the eye can be protected by taping and pulling the lower lid outward and using lubricating drops and ointment. In mild cases of entropion, sutures can be placed through the lower eyelid to restore the position of the eyelid. There are a number of surgical techniques for successfully treating entropion. The most common surgical treatment involves tightening of the eyelid to restore the lid to its normal position.

Lid Surgery to repair Entropion/Ectropion:
is usually performed as an outpatient procedure under local anesthesia. Patients recovery quickly and experience resolution of the problem following surgery. Post-operative care includes placing an antibiotic ointment for about a week. After your eyelids heal, your eye will feel more comfortable.

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