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Ectropion is the medical term used to describe sagging and outward turning of the lower eyelid and eyelashes. This can lead to excessive tearing, crusting of the eyelid, mucous discharge and irritation of the eye. In most cases, ectropion occurs because of age-related relaxation of the tissues of the eyelid. Some cases are caused by scarring as a result of many years of sun-exposure, chemical and thermal burns, injury, skin cancers, or previous eyelid surgery. Occasionally, ectropion can be present at birth if the eyelids do not form properly.
Ectropion should be repaired surgically before the front of the eye (the cornea) is damaged. The surgery to repair ectropion is usually performed under local anesthesia as a day case procedure. In most cases, Mr Malhotra will tighten the eyelid and its attachments, usually through a small incision at the outer corner of the eyelid, but also internally (trans-conjunctivally), in order to re-attach the internal eyelid attachments known as retractors. Occasionally, a skin graft may be required.
All procedures begin with a consultation. For full information about what to do before and after surgery, see Patient information.
Benign eyelid lump — Chalazion
Benign eyelid lump — Chalazion — Patient information
Cataracts — Patient information
Drooping upper eyelids — Ptosis
Drooping upper eyelids — Ptosis — Patient information
Excessive, involuntary blinking — Blepharospasm
Excessive, involuntary blinking — Blepharospasm — Patient information
Eye bags/heavy eyelids — Blepharoplasty
Eyelid skin cancer — Patient information
Facial paralysis — Facial palsy
Facial paralysis — Facial palsy — Patient information
Inward-turning eyelid — Entropion
Inward-turning eyelid — Entropion — Patient information
Outward-turning lower eyelids — Ectropion
Outward-turning lower eyelids — Ectropion — Patient information
Thyroid eye disease — Patient information
Watery eye — Epiphora — Patient information
Artificial eyes and orbital implants
Artificial eyes and orbital implants — Patient information
Asian eyelid surgery — Patient information
Brow lift — Patient information
Cataract removal and lens replacement
Chemical peel — Patient information
Eyelid lift — Blepharoplasty — Patient information
Cheek and facial contouring — Patient information
Lip filling and shaping — Patient information
Tear trough fillers — Patient information
Upper eyelid contouring — Patient information
Mohs surgery — Patient information