Ectropion Repair
An ectropion is an outwardly turned (everted) eyelid. This condition is most often associated with aging, though it may also occur congenitally, as a result of scarring or other surgeries, or secondary to facial nerve paralysis (like Bell's palsy). If not repaired, the condition may lead to thickening of the mucosal surface on the inside of the eyelid (conjunctiva) with consequent inflammation of and danger to the health of the eye itself. Many patients also experience dryness and irritation due to the exposed surface of the eye.
The best method of repair for an ectropion often depends on the underlying cause. In the involutional type of ectropion (associated with aging), most surgeons elect to shorten and tighten the lower lid, thereby resolving the outwardly turned lid. This typically is done in the office or in an outpatient surgery center. The surgeon excises a small segment of the medial aspect of the lower eyelid, and subsequently reconnects the eyelid with a few stitches correcting the problem.
The procedure itself only takes about 15-20 minutes. The first follow up appointment is usually in about 7 days and the stitches are removed. There is typically almost immediate resolution of the condition. Most patients have little if any discomfort with the procedure. There may be mild bruising and swelling following the procedure. This should resolve within about two weeks.
|
