Entropion and Ectropion
Also known as Eyelid Malposition, Inturned Eyelid, Outturned Eyelid, Lower Lid Entropion, Lower Lid Ectropion
Bottom Line
Entropion turns the eyelid inward, so lashes rub the eye. Ectropion turns the eyelid outward, so the eye dries out and tears spill over.
Entropion and ectropion are eyelid position problems. They most often affect the lower eyelid and become more common with aging 1.
Entropion turns the lid inward. Lashes and skin can scratch the cornea, which is the clear front window of the eye.
Ectropion turns the lid outward. Tears do not spread or drain normally, so the eye may water, burn, and dry out 2.
Symptoms
Entropion symptoms often come from rubbing. People feel scratching, tearing, redness, light sensitivity, or pain.
Ectropion symptoms often come from exposure. The eye may water, burn, look red, or feel dry because the lid does not hug the eye.
Treatment
Lubricating tears and ointment can protect the eye surface. Tape can sometimes hold the lid in a safer position for a short time.
Many cases need eyelid surgery for lasting repair. Surgery may tighten the lower lid, rotate the lid edge, release a scar, or support a weak facial nerve 2.
Causes
Aging is the most common cause. Lid tendons and muscles loosen with time.
Other causes include facial nerve weakness, scarring, burns, skin disease, past surgery, trauma, and long-term sun damage.
Common Questions About Entropion and Ectropion
Next Steps
- 1Use preservative-free artificial tears if the eye feels dry or scratched.
- 2Do not pull or tape the eyelid unless a doctor shows you how.
- 3Book an oculoplastics visit if lashes rub the eye or the lid turns outward.
- 4Seek urgent eye care for severe pain, light sensitivity, white corneal spot, or vision loss.
- 5Go to the emergency room for chemical splash, burn, or major eye injury.
Find specialists for Entropion and Ectropion
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