Eyelid Malposition Repair

Eyelid Malposition Repair


There are several conditions that may cause the eyelid to become incorrectly positioned. Beyond the aesthetic factor, these malpositions usually need to be corrected because they can result in decreased vision and irritation of the eye.

The major causes of eyelid malpositioning are:

Entropion Repair

Entropion is a condition where the eyelid turns inward. Typically entropion occurs on the lower eyelid where the skin and lashes rub painfully against the cornea. This condition may cause the lid to either turn in constantly or only at times when the eyes are closed tightly. Entropion usually occurs as a result of the aging process, but other causes can include injury, congenital defect and various inflammatory conditions. A spasm can cause the lid to turn inward as well. Entropion can be corrected with a brief surgical procedure under local anesthesia. For entropion due to muscle weakness, the surgery may involve the removal of a small section of eyelid to tighten the muscles in the area. When entropion is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid.

Ectropion Repair

Ectropion is a condition where the eyelid turns outward. Typically ectropion occurs on the lower eyelid exposing the inner lid in either one section of eye or across the entire lid. Ectropion prevents tears from draining from the eye correctly, resulting in irritation. Common causes of ectropion include aging, sun damage, tumors, burns and the removal of too much skin during blepharoplasty. Over time, if the condition is not treated, the cornea may become damaged due to abrasions, ulcers or infections, resulting in some loss of vision. Artificial tears and ointments can help provide temporary relief from dryness. Ectropion can be corrected in a quick procedure under local anesthesia in which the lid is tightened. Occasionally, the surgeon needs to graft a small segment of skin to ensure that the eyelid is fully repaired.

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