Ectropion
Treatment for the Eyelid That Turns Outward
What is Ectropion?
Ectropion is a condition in which the eyelid turns outward, causing the inner surface of the eyelid to be exposed. This can lead to irritation, excessive tearing, redness, and in some cases, an increased risk of infection or corneal damage. The main goal of treatment is to restore proper eyelid position, relieve symptoms, and protect eye health.
Ectropion treatment
Treatment usually involves surgical correction to tighten and reposition the eyelid. The specific approach depends on the cause and severity of the ectropion:
- Horizontal tightening: Shortening and reinforcing the lower eyelid to restore proper alignment.
- Canthoplasty or lateral tarsal strip: Repositioning and supporting the eyelid corner for a stable eyelid margin.
- Skin grafts or flaps: In cases with significant skin loss or scarring, additional tissue may be used to restore both function and appearance of the eyelid.
Ectropion and Mid-Facial Descent
In some patients, ectropion may be associated with mid-facial descent. This occurs when the area from the lower eyelid to the upper lip sags in it’s entirety. In these cases, a mid-face lift is recommended, as simply shortening the eyelid will not correct the vertical descent of the tissues.
This type of surgery can be performed partially or fully through hidden incisions, usually inside the lower eyelid, allowing for optimal and aesthetically pleasing results with minimal visible scarring.
Type of anaesthesia used
Ectropion surgery is typically performed under local anaesthesia, sometimes combined with sedation, depending on patient needs and the complexity of the procedure.
What to expect after surgery
After surgery, you may experience:
- Mild swelling
- Bruising
- Temporary tightness of the eyelid
Stitches are usually placed along the eyelid margin or corner and are removed within 7–10 days. Cold compresses and ophthalmic ointments are recommended to reduce swelling and support healing.
Recovery and postoperative care
Recovery is generally quick. Most patients can resume normal activities within a few days, although full healing and stabilisation of eyelid position may take several weeks. Following your surgeon’s instructions is crucial for optimal results and to minimise complications.
Preparation before surgery
To optimize results:
- Rest well and maintain a balanced diet
- Stop smoking several weeks before surgery, as it can impair healing
- If taking anticoagulants, consult your doctor about temporarily suspending them before surgery
Ectropion surgery
Ectropion surgery is generally speaking a quick and straight forward intervention and, after having consulted dr. van der Veen, an operation date can be set swiftly since it can be performed under local anaesthesia only in the majority of cases. It is an in-office procedure taking about 20-30 minutes. After having cooled the eye are post-operatively you can go home and only will be asked to follow post-operative instructions strictly. After one week to 10 days the control visit will take place and sutures will be removed.
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