Ectropion is a condition in which the eyelid ? typically the lower lid ? turns out. This leaves the inner eyelid surface exposed and prone to irritation. Ectropion is more common in older adults. 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
Treatment: Eyedrops and ointments can be used to manage symptoms and protect cornea until a permanent treatment is done. Most cases of ectropion require surgery. Surgery There are several different surgical techniques for ectropion, depending on the cause and the condition of the tissue surrounding eyelid. Before the surgery, you'll receive a local anesthetic to numb eye and the area around it. You may be lightly sedated using oral or intravenous (IV) medication to make you more comfortable, depending on the type of procedure you're having and whether or not the surgery is performed in an outpatient surgical clinic. If ectropion is caused by muscle and ligament relaxation due to aging, surgeon will likely remove a small part of lower eyelid at the outer edge. When the lid is sutured back together, the tendons and muscles of the lid will be tightened, causing the lid to rest properly on the eye. You'll have a few stitches on the outside corner of eye or just below lower eyelid. In general, this procedure is relatively simple and will be the only surgery you need. If you have scar tissue from an injury or previous surgery, the surgeon may need to use a skin graft, taken from upper eyelid or behind ear, to help support the lower lid. If you have facial paralysis or significant scarring, the outcome of surgery is less predictable, and more than one procedure may be necessary before ectropion is completely resolved. Following surgery, you may need to wear an eye patch for 24 hours, and then use an antibiotic and steroid ointment on eye several times a day for one week. You may also use cold compresses periodically to decrease bruising and swelling, as well as acetaminophen (Tylenol, others) for pain. Avoid drugs containing aspirin, because they can increase the risk of bleeding. At first eyelid might feel tight, but as you heal it will become more comfortable. Most people say that their ectropion symptoms are relieved immediately after surgery. You will get stitches removed about a week after surgery, and you can expect the swelling and bruising to fade in about two weeks. Although uncommon, bleeding and infection are possible risks of surgery. You will likely experience temporary swelling, and lid tissues may be somewhat bruised after surgery.