Ectropion (Outward Turning of The Eyelid)

Ectropion is the outward turning of the eyelid, in short. When the eyelid turns outward, the delicate tissues of the eye become more vulnerable to dust and microbes present in the atmosphere. It is a common eyelid malformation that can cause serious harm to the delicate tissues of the eye.

What causes Ectropion?

 Ectropion can be caused by various factors, including age-related laxity of eyelid tissues, drooping, imbalance between tissues, trauma, eyelid surgeries, certain serious eye and eyelid infections, some allergic conditions, and medication use. These factors contribute to the outward turning of the eyelid and result in ectropion.

What complaints do patients with Ectropion have?

 Because the eyelid is turned outward, these eyes come into more contact with the outside world and, as a result, are exposed to many foreign objects, germs, and dust particles. This condition leads to various complaints such as:

  • Watery eyes
  • Crusting
  • Redness
  • Sensitivity
  • İtching
  • Burnings
  • Sores on the corneal surface
  • Pain

Can I tell if I have Ectropion?

Yes, some observant patients can recognize ectropion, and I’m sure you might after reading this. This is because when the eyelid turns outward, the tissues on the inner side of the eye become exposed, creating a reddened appearance. However, sometimes patients may not notice this in the early stages. Here are some signs that could indicate ectropion:

  • Persistent watering of the eye
  • Redness
  • Occasional crusting
  • A reddish appearance along the free edge of the eyelid can be indicators of ectropion.

Ectropion treatment:

The only treatment for this condition is surgery. However, for patients who are not ready for surgery, we apply certain eye-protective medical treatments until they are ready for the operation.

Medical treatment:

By medical treatment, we mean medication. Since the eyelids of these patients turn outward and their eyes are exposed to the outside world more, we use:

  • Moisturizing eye drops and gels
  • Eyelid softening creams
  • Massage treatments

When should surgical treatment be done?

Surgical treatment should be done as soon as possible because over time, the disease and related problems unfortunately worsen. Prolonged outward turning of the eyelid can lead to various eye and eyelid issues.

What do we do in surgical treatment?

Although there are many surgical techniques, the main goal of these techniques is to return the eyelid to its previous position.

Is the surgery performed under local or general anesthesia?

We mostly perform the surgery under local anesthesia. However, in some cases, we may opt for general anesthesia depending on the surgery or the patient’s condition.

Will i stay in the hospital after surgery?

If the surgery is performed under local anesthesia, there is no need to stay in the hospital. We sometimes admit patients who undergo surgery under general anesthesia for one night.

Is the surgery stitched or done with laser?

This surgery is done with stitches, but we use aesthetic stitches. Therefore, there is no visible scar after the surgery.

When are the stitches removed?

Usually, we remove the stitches 5 to 10 days after the surgery.