Malpositioning of eyelids can be ectropion (an outward turning of the lid) or entropion (an inward turning of the lid). These conditions can be caused by a variety of reasons, including being born with eyelid malposition, an effect of aging, trauma, disease, or tumors. Symptoms range from severe irritation, burning, tearing and, in some cases, compromised vision. Most patients are also bothered by the aesthetic appearance of the eyelids.
Surgical correction varies based upon the condition and its cause. Procedures are performed on an outpatient basis and under monitored anesthesia. Your surgeon will evaluate how the condition impacts your daily life and whether you are a candidate for surgical treatment.
Ectropion, most commonly associated with aging, can be treated by tightening the lateral aspect of the lower lid. However, if the condition is secondary to scarring, a skin graft may be used to correct the malposition.
Entropion is usually associated with the lower lid and treated by tightening the lid. In cases of scarring, a mucous membrane graft may be required.