Eyelid Malposition - Ectropion Eye

Eyelid Malposition - Entropion & Ectropion

Two of the most common forms of eyelid malposition are entropion and ectropion. These issues become more prominent with age and typically require surgery for long term results. Both conditions may result in pain and complications like permanent scarring of the cornea, infections, dry eyes, and even vision loss.

What is Entropion?

Entropion is the inward turning of the eyelid, usually the lower, causing the lashes to rub against the cornea (the clear surface of the eye). Patients complain of eye pain, excessive tearing, redness and irritation caused from the rubbing lashes. Left untreated, entropion could lead to permanent damage to the cornea and potential vision loss.

Laxity of eyelid tendons combined with weakening of muscles with age commonly cause entropion, although it may occur from trauma, scarring, or infection.

What is Ectropion?

Ectropion is an outwardly turned or sagging lower lid. As the lid sags away, the eye is exposed, and patients experience dryness and excessive tearing.

Common causes of ectropion include age-related tendon laxity, trauma, scarring, or facial nerve paralysis associated with Bell’s Palsy.

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Ideal Candidates for Eyelid Malposition Treatment

Initially, lubrication drops or ointments may give temporary relief from the irritation caused by entropion and ectropion; however, surgical treatment is usually the only long term solution.

During your consultation, you will undergo an extensive evaluation to make sure that you are a suitable candidate for surgery. There are certain complications that manifest themselves when treating eyelid malposition. Prior to proceeding with surgery if these conditions would have to be managed.

Things to Consider

Preparing for Eyelid Malposition Treatment

Rest assured that the surgeon will do everything possible to make sure that your surgery is as comfortable and as easy for you as possible.

If you are having anesthesia, do not have anything to eat or drink starting at midnight the night before your surgery unless you are instructed otherwise by either your surgeon or your primary care physician. The exception to this role is that you can take her morning medicines with a sip of water. If you have diabetes or high blood pressure, your surgeon or treating physician will tell you if any modification to your usual morning dose as is necessary.

Potential Risks of Entropion & Ectropion

The risks associated with eyelid malposition treatment are uncommon. While it is impossible for any surgeon to guarantee that you will never have a complication, rest assured that you are in expert hands and your risk of complications is very small.

The possible eyelid malposition surgery risks include:

Bruising and swelling of the eyelid
Infection and bleeding
Decreased vision
Under/over correction
Risks associated with surgery (anesthesia reaction)

Operation Duration

30 - 60 Minutes

Anesthesia Use

Local Anesthesia w/ Sedation

Recovery Duration

7-14 Days

Insurance Covered

Depends on Condition

Recovery From Eyelid Surgery

This surgery is usually performed on an outpatient basis, so you will go home the same day.

There is minimal pain after the procedure, although some discomfort is normal.
Temporary blurred vision is normal and should subside within the first 24 hours.
Ice packs are recommended for the first two days while bending and heavy lifting should be minimized.
Swelling and bruising around to eyes lasts for seven to ten days.

Most patients can return to work after one week. Your physician will also provide detailed post surgical instructions.

Eyelid Malposition – Entropion & Ectropion