Ectropion
Ectropion is a condition in which the lower eyelid turns outward, away from the eye. This outward turning exposes the inner surface of the eyelid, which normally rests against the eyeball. Ectropion can cause discomfort, dryness, and irritation because the exposed surface is not properly protected or lubricated by tears.
This condition most often affects older adults, especially those over 60, as the muscles and tissues supporting the eyelid naturally weaken with age. However, ectropion can also result from facial nerve damage, trauma, scarring, or certain skin conditions. It may affect one or both eyes, depending on the underlying cause.
When the eyelid is not in contact with the eye, it disrupts the normal tear drainage process. Tears may not spread evenly, leading to dryness. Additionally, tears may overflow continuously down the cheek, a condition known as epiphora. This can cause social discomfort and increase the risk of eye infections or damage to the cornea.
Ectropion
In South Africa and other parts of the world, access to eye care varies. Older adults in rural or under-resourced communities may not receive early diagnosis or treatment, which can lead to worsening symptoms and complications. Public awareness campaigns around age-related eye conditions like ectropion can help improve outcomes.
Fortunately, ectropion is treatable. In mild cases, artificial tears and ointments may provide relief. For more severe cases or those involving scarring or nerve damage, surgical correction is usually recommended to restore the eyelid to its normal position.
Understanding ectropion and its symptoms can lead to earlier diagnosis, better eye health, and improved quality of life—especially for ageing populations.
