Eyelids can sometimes turn in the wrong directions, causing the eyelid malpositions, ectropion and entropion. Whether the eyelid "turns in" (entropion) or "turns out" (ectropion), the patients may experience discomfort and further medical complications. At the Dallas and Plano offices of Oculoplastic Associates of Texas, eyelid malposition surgery is offered to repair ectropion and entropion conditions.
Ectropion is a "turning out" of the eyelid that causes redness, irritation, tearing and an increased likelihood of infection of the eye. 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 can help provide temporary relief from dryness. Ectropion can be corrected with a simple procedure under local anesthesia (often with sedation) in which the eyelid is tightened. If the ectropion is due to scarring or other causes of tightening of the lower eyelid such as a skin tumor or burn, a skin graft may be required to bring the eyelid to the natural position.
Entropion is a "turning in" of the eyelid. The lid and lashes rub painfully against the cornea, which is the very sensitive surface of the eye. Entropion usually occurs as a result of aging, but other causes can include injury, congenital defects and various inflammatory conditions. A spasm can cause the lid to turn inward as well. Entropion can often be corrected with a brief surgical procedure in the office under local anesthesia. In some cases, surgery may involve the removal of a small section of the eyelid to tighten the lid and correct eyelid laxity. It is also important to rule out any scarring on the inside of the eyelid that may be causing the eyelid to turn in, such as a condition known as ocular cicatricial pemphigoid.
"I went to see Dr. Corona for a second opinion after another doctor, who had the worst bedside manner ever, diagnosed me with a serious condition and treated me like a piece of cattle. Dr. Corona was not only prompt to see me, but he was also kind and reassuring, a complete opposite of the other physician. He offered his very competent opinion, referred me to a colleague who specializes in treating my condition...and I left his office feeling much better about my prognosis. Kudos to him!"- W.P. / Healthgrades / Jun 23, 2016
"Dr. Corona was extremely kind. He took the time to diagnose my condition.I dad no pain during the procedure he did, and three days later, I looked 10 years younger!I would recommend him to any person who wants their eyes to look younger and refreshed!"- Anonymous / Healthgrades / Jun 17, 2016
"Superb, compassionate technician/expert - Dr. Merritt enjoys a well-deserved reputation as the doctor of choice in his field. He is kind and respectful, addressing your questions patiently. I had a tearing problem for about 8 years which I just lived with. I finally took action when a top plastic surgeon I know personally noticed it and said Dr Merritt was the professional in this area to whom he refers. Dr Merritt performed diagnostic procedures in his office that were pain free and determine i I needed a bypass. My procedure involved about 8 stitches between eye corner next to nose given where they had to enter in my particular case and in less than 2 weeks the scar was virtually invisible. The stent came out early and my tearing is about 95% gone. I urge anyone needing to have any eye surgery to meet with Dr. Merritt. I trust him completely and consider myself very discerning in this area. Frankly, he ranks tops in my book among physicians I've had experience with for technical skill as well as a caring attitude."- S.S. / Vitals / Jan 16, 2016
"Very attentive, good bedside manner, explained everything thoroughly."- Anonymous / UCompareHealthcare / Dec 31, 2015
"I would definitely recommend Dr Corona to others. He is very kind & takes the time to explain your condition. His staff is very good & professional, too."- Anonymous / RateMDs / Dec 31, 2015
Ectropion and entropion disorders generally needs to be corrected through a brief surgical procedure in which the eyelids are repositioned. The area is numbed with a local anesthetic and sometimes light sedation is provided as well. For ectropion or 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 it is caused by scars or prior surgery, the procedure typically relies on a skin graft to allow a repositioning of the eyelid. Most eyelid repair surgeries take about 30 minutes to complete.
Patients should expect to have temporary swelling, redness, and mild pain around their eyes for the first 2 weeks after the surgery. The doctor advises patients to rest as much as possible and take at least 1 week off from work. Patients should schedule a follow up appointment for 2 weeks after the surgery so the doctor can evaluate their results and answer any questions or concerns the patient may have.
Plan Your Procedure
Eyelid Repair FAQs
Lubricating eye drops may be used to lessen certain symptoms such as dry eyes. Temporary relief can also sometimes be found by using BOTOX or skin tape to hold the eyelid in place or strategically placed stitches for patients with ectropion eyelids. Entropion eyelids can only be treated with eyelid surgery and surgery is the only permanent solution for ectropion eyelids.
Entropion eyelids usually occurs as a result of aging, but other causes can include injury, congenital defect and various inflammatory conditions. A spasm can cause the lid to turn inward. Ectropion eyelids can be caused by aging, facial nerve paralysis, a congenital birth defect, or scar tissue from previous trauma.
One or Both Eyelids?
The doctor will customize each eyelid surgery to best suit the needs of the patient, including performing surgery on only one eyelid if needed. If both eyelids need surgery, but one needs more correction than the other, the doctor will adjust their technique to ensure the eyes and eyelids will be as even and symmetrical as possible.