Ectropion

What is an ectropion? An ectropion is the medical word used when the eyelid rolls outwards or droops downwards away from the eye. This means that tears spill down your cheek instead of draining down the tear duct. Often yellow/green discharge builds up along the eyelid and the edge of the eyelid looks red and sore.

What causes it? It is most commonly caused by ageing eyelid skin, but can also be caused by inflammatory skin conditions like eczema, skin trauma or surgery elsewhere on the eyelid or cheek.

Does it need to be treated? In short – yes! It is usually a good idea to have the eyelid surgically put back in the natural position because the eyelid has a very important roll in protecting your eye, in particular your cornea. Eyes with ectropion are more at risk of developing dry eyes because the tears are not distributed properly over the eye and that in turns increases the risk of developing an infection or ulcer of the cornea. This can lead to scarring, sight loss and even blindness.

What does the surgery involve? The operation takes about half an hour and I normally perform it under local anaesthetic with a small amount applied to the outer eyelid skin. The eyelid is shortened and secured back into its correct position with a number of fine stitches.

What is the usual post-operative recovery? Mild swelling and bruising is common around the lower eyelid for a few days but can last up to two weeks. I prescribe Chloramphenicol ointment to be applied four times a day to the stitches for two weeks and usually remove the stitches at 7-14 days. Most peoples eyes feel completely back to normal by one month after surgery.