Ectropion is a medical condition in which the lower eyelid turns outwards. It is also known as Out Turning of the Eyelid. In severe ectropion, the entire length of the eyelid is turned out. When ectropion is less severe, only one segment of the eyelid sags away from the eye. Artificial tears can help relieve the symptoms caused by ectropion until you can have surgery to correct the condition.
Causes
The primary cause of ectropion is the muscle weakness or tissue relaxation that occurs as part of the normal aging process. Other are :
1. Stroke
2. Skin cancer
3. Injury
4. Scar tissue from injuries or burns
5. Facial palsy
6. Birth defects due to genetic disorders like Down syndrome
7. Prior surgery or radiation treatment of the eyelids
8. Rapid weight loss
Signs and Symptoms
- Excess tearing of the eye (epiphora)
- Dry, painful eyes
- Eyelid turns outward
- Long-term (chronic) conjunctivitis
- Keratitis
- Redness of the lid and white part of the eye
- Irritation of eye.
Related Article :
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Diagnosis
The health care provider will make a diagnosis by doing an exam of the eyes and eyelids. Special tests are not needed most of the time.
Treatment
1. Artificial tears (a lubricant) may ease dryness and keep the cornea moist.
2. Using skin tape —an adhesive made specifically for the skin—to lift the lower lid and hold it in place may relieve some symptoms.
3. Stretching of Scar Tissue :
If the problem was caused by scar tissue, your doctor may recommend scar tissue stretching. This involves steroid injections and/or scar tissue massaging.
4. Surgery :
Most of the time, surgery is required. It may be performed during a hospital stay, but is usually done as an outpatient procedure under local anesthetic. During the operation, the surgeon generally removes part of the lower eyelid. This procedure requires stitches below the eyelid or on the outside corner of your eye. In most cases, this surgery is quite effective and resolves the problem.
Complications
1. Corneal abrasions
2. Corneal ulcers
3. Eye infections
4. Impaired vision
5. Permanent blindness
References
1. Cahill KV, Doxanas MT. Eyelid abnormalities: ectropion, entropion, trichiasis. In: Tasman W, Jaeger EA, eds.Duane's Ophthalmology 2013.
2. HealthLine : Ectropion, Written by Ann Pietrangelo
3. MedlinePlus : Ectropion, Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA.
Related Article :
- Chalazion
- Improve Eyesight
- How To Use Eye Drops
Causes
The primary cause of ectropion is the muscle weakness or tissue relaxation that occurs as part of the normal aging process. Other are :
1. Stroke
2. Skin cancer
3. Injury
4. Scar tissue from injuries or burns
5. Facial palsy
6. Birth defects due to genetic disorders like Down syndrome
7. Prior surgery or radiation treatment of the eyelids
8. Rapid weight loss
Signs and Symptoms
- Excess tearing of the eye (epiphora)
- Dry, painful eyes
- Eyelid turns outward
- Long-term (chronic) conjunctivitis
- Keratitis
- Redness of the lid and white part of the eye
- Irritation of eye.
Related Article :
- Chalazion
- Improve Eyesight
- How To Use Eye Drops
Diagnosis
The health care provider will make a diagnosis by doing an exam of the eyes and eyelids. Special tests are not needed most of the time.
Treatment
1. Artificial tears (a lubricant) may ease dryness and keep the cornea moist.
2. Using skin tape —an adhesive made specifically for the skin—to lift the lower lid and hold it in place may relieve some symptoms.
3. Stretching of Scar Tissue :
If the problem was caused by scar tissue, your doctor may recommend scar tissue stretching. This involves steroid injections and/or scar tissue massaging.
4. Surgery :
Most of the time, surgery is required. It may be performed during a hospital stay, but is usually done as an outpatient procedure under local anesthetic. During the operation, the surgeon generally removes part of the lower eyelid. This procedure requires stitches below the eyelid or on the outside corner of your eye. In most cases, this surgery is quite effective and resolves the problem.
Complications
1. Corneal abrasions
2. Corneal ulcers
3. Eye infections
4. Impaired vision
5. Permanent blindness
References
1. Cahill KV, Doxanas MT. Eyelid abnormalities: ectropion, entropion, trichiasis. In: Tasman W, Jaeger EA, eds.Duane's Ophthalmology 2013.
2. HealthLine : Ectropion, Written by Ann Pietrangelo
3. MedlinePlus : Ectropion, Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA.
Related Article :
- Chalazion
- Improve Eyesight
- How To Use Eye Drops
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