Ectropion is a condition where the lower eyelid turns outward and away from the eye.
This exposes the inner surface of the eyelid, causing dryness, irritation, watering, and redness.
If left untreated, ectropion can lead to discomfort, recurrent infections, or damage to the surface of the eye, and it is often correctable with surgery.
Ageing – weakening and loosening of the eyelid tissues (most common cause)
Facial nerve weakness or paralysis – affecting eyelid muscle tone (e.g. after stroke or Bell’s palsy)
Previous eyelid or facial surgery – causing scarring or eyelid malposition
Scarring from injury, burns, or skin conditions – pulling the eyelid outward
Chronic eyelid inflammation – leading to tissue changes over time
Tumours or growths on the eyelid – adding weight and pulling the lid down
Treatment for ectropion depends on the cause and severity of the eyelid turning outward.
In mild cases, lubricating eye drops or ointments can help protect the eye and relieve dryness and irritation.
If symptoms are significant or the eye surface is at risk, surgery is the definitive treatment, tightening and repositioning the eyelid to restore normal contact with the eye and improve comfort and eye health.