Treatment of Ectropion
The treatment of ectropion depends on the cause and severity of the condition. In mild or temporary cases, non-surgical options may offer relief. However, most long-term cases of ectropion—especially those caused by ageing or scarring—require surgical correction to restore the eyelid to its normal position.
Non-surgical treatments include:
Lubricating eye drops and ointments to prevent dryness
Tear substitutes to reduce irritation and support corneal health
Antibiotic eye drops if infection is present
Moisture shields or eye patches, particularly during sleep
These measures do not correct the position of the eyelid but provide temporary relief from symptoms. Doctors often use them while patients wait for surgery or when patients cannot undergo surgical procedures due to other health issues.
Surgical treatment is the most effective and permanent solution. For involutional ectropion (age-related), the surgeon tightens the muscles and tendons of the eyelid in a procedure known as lateral tarsal strip surgery. This helps the eyelid sit closer to the eye and function normally.
In cases of cicatricial ectropion, where scar tissue pulls the eyelid outward, surgeons may perform skin grafting to lengthen the eyelid and release the tension. If facial nerve paralysis causes the ectropion, surgeons may perform additional support or lifting procedures to stabilise the lower lid.
Surgery is usually performed under local anaesthetic and is often a day procedure. Recovery is quick, and most patients experience immediate improvement in eye comfort and tear drainage.
Treatment of Ectropion
In South Africa, surgical treatment for ectropion is available at major public hospitals and private eye clinics. However, access in rural areas may be limited, and patients are sometimes placed on waiting lists. Early referral and follow-up are crucial for managing symptoms and preventing long-term damage.
Patient education is also important. Avoiding eye rubbing, using protective eyewear in dusty environments, and managing skin conditions can reduce the risk of recurrence after surgery.
The treatment of ectropion restores eyelid function, protects the eye, and improves quality of life. With modern techniques and good aftercare, most cases can be corrected successfully and without complications.
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