Treatment

If your ectropion is mild, your doctor might recommend artificial tears and ointments to ease the symptoms. Surgery is generally required to fully correct ectropion.

Surgery

The type of surgery you have depends on the condition of the tissue surrounding your eyelid and on the cause of your ectropion:

  • Ectropion caused by muscle and ligament relaxation due to aging. Your surgeon will likely remove a small part of your lower eyelid at the outer edge. When the lid is stitched back together, the tendons and muscles of the lid will be tightened, causing the lid to rest properly on the eye. This procedure is generally relatively simple.
  • Ectropion caused by scar tissue from injury or previous surgery. Your surgeon might need to use a skin graft, taken from your upper eyelid or behind your ear, to help support the lower lid. If you have facial paralysis or significant scarring, you might need a second procedure to completely correct your ectropion.

Before surgery, you'll receive a local anesthetic to numb your eyelid and the area around it. You may be lightly sedated using oral or intravenous medication to make you more comfortable, depending on the type of procedure you're having and whether it's done in an outpatient surgical clinic.

After surgery you might need to:

  • Wear an eye patch for 24 hours
  • Use an antibiotic and steroid ointment on your eye several times a day for one week
  • Use cold compresses periodically to decrease bruising and swelling

After surgery you will likely experience:

  • Temporary swelling
  • Bruising on and around your eye

Your eyelid might feel tight after surgery. But as you heal it will become more comfortable. Stitches are usually removed about a week after surgery. You can expect the swelling and bruising to fade in about two weeks.

Jan. 20, 2016
References
  1. Yanoff M, et al., eds. Ectropion. In: Ophthalmology. 4th ed. Edinburgh, U.K.: Mosby Elsevier; 2014. http://www.clinicalkey.com. Accessed Nov. 23, 2015.
  2. Damasceno RW, et al. Eyelid aging: Pathophysiology and clinical management. Arquivos Brasileiros de Oftalmologia. 2015;78:328.
  3. Goldman L, et al., eds. Diseases of the visual system. In: Goldman-Cecil Medicine. 25th ed. Philadelphia, Pa.: Saunders Elsevier; 2016. http://www.clinicalkey.com. Accessed Nov. 23, 2015.
  4. Ectropion — Eyelids that turn out. American Society of Ophthalmic Plastic and Reconstructive Surgery. http://www.asoprs.org/files/public/infoectropion.pdf. Accessed Nov. 23, 2015.
  5. Kaiser PK, et al., eds. Lids, lashes, and lacrimal system. In: The Massachusetts Eye and Ear Infirmary Illustrated Manual of Ophthalmology. 4th ed. Philadelphia, Pa.: Saunders Elsevier; 2014. http://www.clinicalkey.com. Accessed Nov. 23, 2015.
  6. AskMayoExpert. Eye surgery. Rochester, Minn.: Mayo Foundation for Medical Education and Research; 2015.