PANCE Blueprint EENT (7%)

Ectropion

Patient will present as  a 72-year-old with complaints of dry eyes coupled with excessive tearing. On exam the conjunctiva appear red and the left eyelid is turned outward.

Ectropion (eversion of the lower eyelid) is caused by age-related tissue relaxation, cranial nerve VII palsy, and posttraumatic or postsurgical changes.

  • Ectropion occurs when the eyelid turns outward exposing the palpebral conjunctiva.
  • Tearing and symptoms of dyr eyes (due to poor drainage of tears through the nasolacrimal system, which may no longer contact the eyeball).
Conjunctiva are red from air exposure and irritation.

Conjunctiva are red from air exposure and irritation.

Diagnosis is clinical (eyelid turns out)

Symptomatic treatment can include tear supplements and, at night, ocular lubricants

  • Definitive treatment is surgery
Chalazion (Lecture) (Prev Lesson)
(Next Lesson) Entropion (Lecture)
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