Eyelid Malposition (Ectropion, Entropion)


What is Ectropion and Entropion?

In its normal position, the eyelid helps protect the eye. With eyelid malposition, the eyelid may either be turned outwards (ectropion) or turned inwards (entropion). In ectropion, the inner pink portion of the inner eyelid may be exposed, causing tearing, irritation or discomfort. With entropion, the eyelid and eyelashes rub against the eye, causing irritation, foreign body sensation, tearing, blurred vision, and possibly even permanent damage to the eyeball. In mild cases, entropion may be treated with periodic botulinum toxin injections, thus avoiding surgery.

The Surgery :

Long lasting treatment for ectropion and entropion requires surgical management. In the surgery, an incision is made at the outside corner of the eyelid (lateral canthus). The eyelid is tightened horizontally. In the case of entropion, additional work is done to treat muscles that contribute to the internally rotated eyelid. The resulting scar is minimized with a small incision in the lateral eyelid. In some cases, an additional skin incision is required just below the eyelashes. Both scars typically heal well. The surgery is usually performed in an outpatient (non-hospital) setting under light anesthesia consisting of IV sedation and local medication injected at the surgical site. Patients are able to go home the same day of the procedure. The surgery itself takes approximately half an hour. 

What to Expect After Surgery :

Bruising and swelling is typical after eyelid surgery and peaks in the first post-operative week. We recommend remaining home to recover for approximately one week. Thereafter, most patients can comfortably return to work. During the recovery period, heavy exertion and makeup use is avoided. Typically, the eyelid malposition correction is seen directly after surgery.