A lower lid that turns in or out can be repaired to protect the eye.
Entropion means the eyelid, usually the lower one, rolls inward so the lashes rub on the eye. It is most often caused by the lid loosening with age.
Over time the rubbing can scratch the clear front of the eye (the cornea).
Simplified illustration, not to scale.
Ectropion means the lower eyelid sags or turns outward, away from the eye. It is most often caused by the lid loosening with age.
Tears may not drain properly, so the eye can become dry, red and watery.
Simplified illustration, not to scale.
Entropion: the lid rolls in, so the lashes rub on the eye. It feels scratchy, like something is in your eye.
Ectropion: the lid sags out, away from the eye. The eye waters and tears spill onto the cheek.
Both are most often caused by the lid loosening with age, and both are usually repaired with a short day procedure.
A scratchy, gritty feeling that does not go away.
The eye waters and looks red.
Bright light is uncomfortable.
You can see the lashes turned toward the eye.
The lid droops away from the eye, showing its pink inner lining.
Tears spill over onto the cheek.
The eye feels dry, gritty or sore.
Mucus or crusting along the lid.
Surgery tightens and repositions the lower lid so it sits against the eye again: for entropion the lid is turned back out so the lashes no longer touch the eye. It is usually a day procedure under local freezing, with a mild sedative often offered.
Lubricating drops can ease symptoms in the meantime. A painful red eye with blurred vision needs prompt care.
Dr. Conlon will explain your options and the risks at your consultation.
Entropion and ectropion repair may be covered by Saskatchewan Health when medically necessary. Dr. Conlon will check at your consultation whether you qualify.
Performed by Dr. M. Ronan Conlon, fellowship-trained in oculoplastic/orbital surgery (approved ASOPRS fellowship, University of Iowa Hospitals and Clinics).
Meet Dr. Conlon →Coming from out of town? We see many patients who travel a long distance, and we can often arrange virtual follow-ups where appropriate, so you make fewer trips.
Consultations are free.
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