Eye exam

Entropion and Ectropion

Entropion and ectropion of the lower eyelid
Entropion and ectropion of the lower eyelid

What are Entropion & Ectropion?

Entropion and Ectropion are conditions in which the eyelid is malpositioned. 

Entropion is characterized by the inversion or inward turning of the eyelid. This malposition causes the eyelashes and the skin to irritate and rub against the cornea, leading to discomfort, redness, and potential corneal damage if left untreated. 

Ectropion, conversely, involves the outward turning of the eyelid margin. This condition leaves the inner surface of the eyelid exposed, leading to issues like excessive tearing, dryness, irritation, and susceptibility to infections due to inadequate tear drainage.

Causes and Recognizing the Symptoms of Entropion & Ectropion

Entropion is often a result of aging. Over time, the tissues supporting the eyelid can weaken. Scarring from injuries, previous surgeries, or inflammatory conditions can also contribute to the development of the condition. 

Ectropion is commonly associated with aging as well, primarily due to the gradual loss of elasticity in the eyelid tissues. Other causes may include facial nerve palsy, scarring from burns or surgeries, or congenital abnormalities. 

Entropion & Ectropion Diagnosis and Treatment Approaches

Diagnosing Entropion or Ectropion requires a thorough eye examination. An ophthalmologist must evaluate the eyelid’s position, degree of laxity, and any potential corneal damage. 

Treatment options vary depending on the severity:

  • Conservative Measures: Mild cases may find relief through lubricating eye drops, ointments, or temporary techniques like eyelid taping to reposition the eyelids.
  • Surgical Intervention: Severe cases may require surgical correction. The goal of surgery is to reposition or tighten the eyelids to restore their proper function and alleviate symptoms. The surgical techniques employed depend on individual factors and the specific condition. Some common techniques include eyelid retractor reinsertion, tarsal strip procedure, horizontal tightening procedures, canthal tendon tightening, horizontal tightening procedures, canthal tendon tightening, skin grafting and mucous membrane grafting.

Preventive Measures and Long-term Outlook

While some instances of Entropion and Ectropion may be age-related and challenging to prevent, certain measures can mitigate the risk or severity:

  • Protecting the eyes from trauma or injury
  • Proper management of conditions affecting the facial nerves
  • Seeking prompt medical attention for any eye-related symptoms

Surgical correction often yields successful outcomes, relieving discomfort and preserving ocular health. 

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Santa Monica, CA 90404
310-829-8701

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Torrance, CA 90503
424-212-5361

Our Neuro-ophthalmology Team