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Ectropion / Entropion

Ectropion is a medical condition in which the lower eyelid turns outwards. It is one of the notable aspects of newborns exhibiting Harlequin type ichthyosis. Ectropion is typically seen in older individuals as a result of senescence, ectropion most commonly affects the lower eyelids. The condition can be repaired surgically.

Most surgical treatments involve tightening of the tendons of the eyelid. Surgery is usually done on an outpatient basis under sedation. Healing is generally quick with a return to normal activities within 10 days or so.

Mild cases of ectropion can cause tearing, redness and discomfort of the eye. More severe, or chronic cases of ectropion can cause recurrent infections, chronic conjunctivitis and corneal decompensation. If left untreated, ectropion can result in vision loss from corneal scarring and in very severe cases corneal ulceration and even endophthalmitis and loss of the eye may occur.

Entropion is a medical condition in which the eyelids fold inward. It is very uncomfortable, as the eyelashes rub against the cornea constantly. Entropion is usually caused by genetic factors and may be congenital. Untreated entropion can cause eye irritation, tearing, infections and corneal disease. Treatment is a simple surgery in which excess skin of the outer lids is removed.  Non-surgical treatment includes frequent topical lubrication and eyelid tape on the eyelid to keep the eyelashes from rubbing against the cornea. Prognosis is excellent if surgery is performed before the cornea is damaged.

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