A condition, typically a consequence of advanced age, in which the eyelid is turned outwards away from the eyeball.
Symptoms: Dry, painful eyes. Excess tearing of the eye (epiphora) Eyelid turns outward. Long-term (chronic) conjunctivitis. Keratitis. Redness of the lid and white part of the eye.
Diagnosis: Eyelid malignancy, Eyelid retraction secondary to proptosis (ex. thyroid-associated orbitopathy), excessive tissue removal with lower blepharoplasty, or inferior rectus recession without disinsertion of the lower lid retractors. Medical therapy such as lubrication and Horizontal taping of the eyelid. Lubrication and moisture shields are helpful if significant corneal exposure exists from the ectropion. In patients with corneal exposure, plastic dressings are often superior to cloth patches. In some cases, taping the lateral canthal skin supertemporally provides temporary relief, especially in patients with new-onset seventh nerve palsy.
Epidemology: The primary morbidity is associated with corneal/conjunctival exposure. Tearing may also cause significant patient complaints. Ectropion can affect patients of any age but is most commonly seen in older adults.