Patient will present as → a 73-year-old male who complains of dry eyes coupled with excessive tearing. On exam, you note the conjunctiva appears red and the right 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
- Ectropion is usually caused by muscle and ligament relaxation due to aging. It may also be caused by scar tissue from injury or previous surgery
- Tearing and symptoms of dry eyes (due to poor drainage of tears through the nasolacrimal system, which may no longer contact the eyeball)
Diagnosis is clinical (eyelid turns out)
Symptomatic treatment can include tear supplements and, at night, ocular lubricants
- Definitive treatment is surgery
Tear supplements and ocular lubricant
Immediate referral to Opthalmology to discuss surgical options
This is appropriate if conservative treatments have failed or if there is concern cor corneal infection or a corneal ulcer
Topical antibiotic eye drops
Topical antibiotic eye drops are not indicated in the treatment of ectropion
Topical steroid eye drops
Topical steroid eye drops are not indicated in the treatment of ectropion