Entropion & Ectropion

ENTROPION:  Inturned eyelid.  The eyelashes irritate the cornea, and occasionally may result infection as seen on the top right.

 

 

ECTROPION:  Out-turned eyelid as seen to the lower right. 
The 
cornea may dry from exposure and tears may overflow.

 

 

Entropion and ectropion are very common, and in North America usually involve the lower lid.  Age-related lid laxity (wear and tear of old age), trauma, and sometimes scarring are the usual causes of entropion and ectropion.  Facial nerve palsy is a common cause of ectropion.

Entropion and ectropion are provincially insured procedures. 

Taping the eyelid may help patients until the time of surgery.  Some patients with entropion can be given a botox injection to relieve their discomfort until the time of surgery.

Most lid surgeries are an outpatient procedure, and done awake with local anesthetic.  The freezing needle may hurt for 20 seconds. 

Some patients with ectropion are given a button bolster to help distribute the pressure of the stitches. 

The lower eyelid may appear higher after the surgery but this is usually not permanent.  The eyelid may be puffy, bruised or swollen for several weeks after the surgery. 
Much of the surgery is performed at the ear side corner of the eyelid.  It is not uncommon for the ear side of corner of the eyelid to be uncomfortable for 1-2 months following the procedure.

After surgery you may have a permanent scar where the surgical incision was made.  The scar tends to be less noticeable over time.

After 3-5 years, up to 10% of patients will have recurrence of their ectropion or entropion due to ongoing laxity of the skin with age. To decrease the risk of recurrence  do not rub or tug on the lower lid – or the ectropion.  If instilling eye drops, do NOT pull the lower lid down.  Try to avoid sleeping on your cheek.