Ectropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. The margin of the eyelid and the eyelashes evert (turn out) . This rubbing can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye.

During blinking, the eyelids normally sweep across the surface of the cornea (Tearing occurs because the eyelids are not able to wipe the surface of the cornea properly to pump the tears into the tear duct.

Most cases of entropion are due to relaxation of the tissues of the eyelid as a result of aging. Some cases result from scarring of the eyelid caused by chemical and thermal burns, trauma, skin cancers, or previous eyelid surgery. Rarely ectropion can be present at birth if the eyelids do not form properly.

Ectropion should be repaired surgically before the rubbing damages the cornea by causing infection and scarring. Prior to surgery, the eye can be protected by taping the lower lid down and using lubricating drops and ointment. In some cases, sutures can be placed through the lower eyelid until more definitive surgery can be performed.

The surgery to repair entropion is usually performed under local anesthesia as an outpatient. In most cases, your doctor will tighten the eyelid and its attachments. You may have a patch overnight and then will commonly use an antibiotic ointment for about a week. After your eyelids heal, your eye will feel comfortable and you will not longer have the risk of corneal scarring, infection, and loss of vision.

Patient with lower eyelid ectropion: