Symptoms of Ectropion
The symptoms of ectropion primarily result from the eyelid no longer sitting flush against the eye. Without this natural barrier, the eye becomes vulnerable to dryness, irritation, and infection. Recognising the symptoms of ectropion early allows for effective treatment before complications arise.
One of the first signs is excessive tearing, also known as epiphora. Though this may seem counterintuitive, the exposed inner eyelid disrupts the normal tear drainage system. As tears no longer flow properly into the tear ducts, they spill over the lower eyelid and down the cheek.
Other common symptoms include:
Redness and irritation of the eye
Dryness and grittiness, often described as a feeling of sand in the eye
Light sensitivity or discomfort in bright environments
Chronic conjunctivitis, or frequent eye infections
Blurred vision, particularly when the cornea becomes irritated or damaged
The exposed eye surface is more likely to become inflamed or infected. Without the eyelid to spread tears evenly, the eye loses its natural lubrication and becomes vulnerable to debris and bacteria. This dryness can lead to keratitis, an inflammation of the cornea that may cause pain, scarring, and visual impairment.
In some people, the eyelid itself may become red, thickened, or swollen. The inner surface of the eyelid can dry out and become irritated from constant exposure to air and environmental elements.
The symptoms of ectropion may worsen gradually. In age-related cases, people often ignore the early signs, assuming tearing or irritation is simply due to “old age.” However, if left untreated, the problem can progress to a more serious condition that threatens vision.
Symptoms of Ectropion
In South Africa, people living in areas with limited access to eye care may suffer from long-term symptoms without knowing the cause. Poor access to clean water, environmental pollutants, and untreated infections can worsen symptoms, especially among the elderly.
Sometimes, symptoms are intermittent. For example, the eyelid may only turn outwards when the face is relaxed or when the person is tired. However, even temporary symptoms should not be ignored, as they can indicate underlying weakness in the eyelid structures.
Understanding the symptoms of ectropion helps encourage early medical attention. With proper treatment—whether lubricating eye drops or surgery—most patients experience significant relief and a return to normal eyelid function.
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