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. Ectropion usually involves the lower lid and often has a component of horizontal lid laxity. Ectropion is a medical condition in which the lower eyelid turns outwards. It is one of the notable aspects of newborns exhibiting congenital Harlequin-type ichthyosis, but ectropion can occur due to any weakening of tissue of the lower eyelid.
The prevalence of involutional lower lid ectropion in elderly patients in Brazil has been estimated at 2.9%. 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.
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. These include irritation, excessive tearing, excessive dryness.
Artificial tears (a lubricant) may ease dryness and keep the cornea moist. Surgery to tighten the muscles that hold the eyelids in place is very often effective. It may be done as outpatient surgery using medicine to numb the area (local anesthesia). Topical retinoids have been suggested as treatment for ectropion from ichthyosis. Hyaluronic acid gel has been described as a treatment for cicatricial ectropion but has a poor cosmetic result. Lubrication and moisture shields are helpful if significant corneal exposure exists from the ectropion.