Chiara Del Noce · Ophthalmology
Ectropion
When the eyelid turns away from the eye, causing watering, dryness or irritation.
In ectropion, the eyelid—usually the lower eyelid—turns outwards and away from the surface of the eye.
Common signs: a lower eyelid that does not sit against the eye, watering, irritation, dryness or difficulty closing the eye completely.
How it may affect the ocular surface
Eyelid position helps distribute tears and protect the eye. When the eyelid does not sit correctly, symptoms may include:
- persistent watering;
- dryness or a gritty sensation;
- irritation and redness;
- exposure of the inner surface of the eyelid;
- difficulty closing the eye completely;
- recurrent inflammation.
The eye may water precisely because the eyelid is no longer distributing or draining tears correctly.
Assessment and treatment
Ectropion is more common when eyelid tissues become lax, but it may have other causes. The consultation assesses eyelid position and closure, the ocular surface and the mechanism behind the problem.
Treatment varies with the cause and severity. It may include measures to protect the ocular surface or, when indicated, surgical correction of the eyelid position.
When prompt assessment is needed
Eye pain, marked redness, sensitivity to light or changes in vision require prompt assessment.
Frequently asked questions
Why does the eye water if it feels dry?
Abnormal eyelid position may impair both tear distribution and drainage, causing exposure and watering at the same time.
Does ectropion always affect both eyes?
No. It may affect one or both eyes.
Is it always age-related?
It is more common as tissues age, but there are other possible causes that should be identified during assessment.
Specialist assessment
Every recommendation begins with a consultation
Anatomy, function and expectations are considered together to define an appropriate individual pathway.
Appointment information