Eyedrops and ointments can be used to manage symptoms and protect your cornea until a permanent treatment is done. Most cases of ectropion require surgery. The primary morbidity is associated with corneal/conjunctival exposure. Tearing may also cause significant patient complaints. In developed countries, age-related involutional ectropion is more common. In sub-Saharan Africa, cicatricial ectropion from trauma is more common. No sexual predilection has been described. Ectropion can affect patients of any age but is most commonly seen in older adults.
Normally when you blink, your eyelids distribute tears evenly across your eyes, keeping them lubricated. These tears drain into the little openings on the inner part of your eyelids (puncta). When you have ectropion, your lower lid pulls away from your eye and tears don't drain into the puncta properly, causing a number of signs and symptoms: Irritation, excessive tearing, excessive dryness.
Ectropion is an abnormal eversion (outward turning) of the lid margin away from the globe. Without normal lid globe apposition, corneal exposure, tearing, keratinization of the palpebral conjunctiva and visual loss may result. It usually involves the lower lid and often has a component of horizontal lid laxity. 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.