Ectropion and entropion are two types of eyelid abnormalities that can irritate the eyes and create discomfort. As the muscles and other tissues around the eyes deteriorate with age, this becomes a more common condition.

Normal upper and lower eyelids seal tightly over the eyeball. This protects the eye from external harm and prevents tears from evaporating, allowing the eye to stay moisturized. This manifests as a visual deformity causing symptoms such as wetting and eye redness.

Ectropion develops when the eyelid turns outward. This causes the inner surface of the eyelid to become vulnerable and exposed to dust, dirt, and other irritants. Since the tear duct is not in a position to collect the tears, it can leave patients with dry eye disease.

Ectropion image:

ectropion eye

A thorough eyelid evaluation is performed to rule out causes of tearing. In some cases, ectropion can cause corneal damage to the eye with subsequent vision loss. Artificial tears and lubricating eye drops are recommended to treat some of the persistent symptoms of this condition. However, surgery is usually necessary to resolve eyelid malposition.

Vision can be affected due to damage to the cornea- in rare situations, corneal ulcers and permanent damage can reduce vision. Entropion occurs when the eyelid turns inward, causing the eyelashes and eyelid skin to touch the eyeball. It causes irritation and foreign body sensation.

Entropion image:

eye with entropion

Treatment for entropion includes surgical repositioning. Taping the lids or contact lenses can temporarily improve the situation. These are outpatient procedures that typically have a successful turnover rate.

Eyelid problems may seem harmless but can cause long-term damage to your eye health. If left untreated, both of these conditions can increase your risk of more serious infections and possible vision loss.