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How Are Ectroprion and Entroprion of the Eyelid Different and How Are They Treated?

Ectropion refers to an out-turned lower eyelid and can occur for three different reasons. The most common is age-related involutional ectropion, where there is excessive laxity in the bottom lid. The next most common type is paralytic ectropion, where there is partial or complete paralysis of the facial muscles, such as after a stroke or from Bell’s palsy. The third type is cicatrial (scarring) ectropion, caused by trauma related scarring or skin diseases with tightening of the skin. Symptoms include tearing, mattering of the eyelash bar, irritation, and erythema (redness) of the eye’s bottom lid.Ozwad

eyelash bar
eyelash bar

Involutional (age-related) and paralytic ectropion are repaired by tightening. A small incision is made in the outer corner of the bottom lid, which is tightened and reattached just inside the lateral orbital rim — like a “nip and tuck.” This is performed as a same day surgery with light sedation and local anesthesia. Cicatricial ectropion is a bit more complicated to repair. Sometimes, a skin graft is required.

Entropion refers to an in-turned bottom lid, where the eyelash bar are rubbing against the eyeball. This can be quite irritating to a patient, and, if left untreated, can cause permanent damage to the cornea and loss of vision. Involutional (age related) is the most common type of entropion. This is caused by vertical laxity in the lower lid retractors (muscles that pull the lower lid down and back) combined with horizontal laxity in within the lower lid.

Symptoms include chronic redness, irritation, tearing, foreign body sensation, and loss of vision.

Entropion repair is performed as a same-day surgery with light sedation and local anesthesia. Treatment is aimed at tightening the lower lid retractor muscles through a small incision just beneath the lower eyelash bar . An additional lower lid tightening procedure is performed through a small incision at the outer corner of the eyelids. The incisions are closed with fine absorbable sutures.

Ectropion refers to an out-turned lower lid. Ectropion can occur for three different reasons. The most common is age-related involutional ectropion, where there is excessive laxity in the lower lid. The next most common type is paralytic ectropion, where there is partial or complete paralysis of the facial muscles, such as after a stroke or from Bell’s palsy. The third type is cicatrial (scarring) ectropion, caused by trauma related scarring or skin diseases with tightening of the skin.

Symptoms include: tearing, mattering of the eyelash bar, irritation, and erythema (redness) of the lower lid

Involutional (age-related) and paralytic ectropion are repaired with a lower lid tightening procedure. A small incision is made in the outer corner of the lower eyelid, and the lower eyelid is tightened and reattached just inside the lateral orbital rim. Think of it as a “nip and tuck” for the lower eyelid. This is performed as a same day surgery with light sedation and local anesthesia. Cicatricial ectropion is a bit more complicated to repair. Sometimes, a skin graft is required.

Entropion refers to an in-turned lower eyelid, where the eyelash bar are rubbing against the eyeball. This can be quite irritating to a patient, and if left untreated, can cause permanent damage to the cornea and loss of vision. Involutional (age related) is the most common type of entropion. This is caused by vertical laxity in the lower eyelid retractors (muscles that pull the lower lid down and back) combined with horizontal laxity in within the lower eyelid.

Symptoms include, chronic redness, irritation, tearing, foreign body sensation, and loss of vision.

eyelash bar
eyelash bar

Entropion repair is performed as a same-day surgery with light sedation and local anesthesia. Treatment is aimed at tightening the lower lid retractor muscles through a small incision just beneath the lower eyelash bar. An additional lower lid tightening procedure is performed through a small incision at the outer corner of the eyelids. The incisions are closed with fine absorbable sutures.

 

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