What is an ectropion?
The lower eyelid can turn outwards (ectropion) or inwards (entropion), and in most cases this is due to stretching of the eyelid tissues over time. Both can cause grittiness, irritation, redness and watering.
Thankfully, both entropions and ectropions can be effectively treated with surgery to reposition the eyelid. This typically involves tightening the eyelid tendons both horizontally and vertically to correct the position, in a similar way to the cables which keep a tennis net straight.
Occasionally, entropions and ectropions can be due to more serious problems, and it is important to have your eyelids assessed by a specialist.
What does ectropion correction surgery involve?
Ectropion correction surgery can be carried out under local anaesthetic, with the option of sedation if desired. An incision is made in a laughter line at the outer corner of the eyelids, and the eyelids are repositioned using dissolving stitches.
It is common for the eyelids to feel tight for a few weeks after surgery, as there is inevitably some loosening off as the tissues relax into their new position. There will be some bruising and swelling, and cool compresses and an extra pillow to prop up the head of the bed can help to reduce this. The scar generally fades well into the laughter lines at the outer corner of the eyelids.
Usually the incision is closed with a combination of dissolving stitches and skin glue, and so there is no need to have stitches removed. You will be given an antibiotic ointment to use for 10 days to help the incision to settle.