Ectropion

Causes

An ectropion is an outward-facing (everted) lower eyelid: the insides of the lower eyelids are constantly exposed to the air and dry out.

Most commonly, ectropion appears as a symptom of aging, whereby eyelid tissue relaxes horizontally. In rare cases it can also be caused by skin diseases, infections or scarring of the skin of the lower eyelid. Irrespective of the cause, the outcome is the same: the eye becomes permanently irritated because the eyelids no longer close properly and dry out the surface of the eye. Often there is a compensatory excess production of tears, resulting in a watery eye – but the tears can not flow properly because of the malpositioning of the lower eyelid.

Long-term ectropion predisposes patients to developing corneal infections, which can lead to serious changes, in extreme cases to a corneal ulcer.

The operation

Ectropion surgery, much like entropion surgery, can be corrected by horizontally and vertically tightening the lower eyelid. The operation lasts about 45 minutes, is usually performed under local anaesthesia, and the success rate is 70–80%.

Under certain circumstances – if the ectropion is caused by a shortening of the lower lid, usually as a consequence of scar tissue production or skin disease – then skin transplantation may be necessary. For this, we can transplant skin from the upper lid of the same side or the opposite side, or even skin behind the ear.

Before – After

eko-pre
Before
Ektropium-post
After

Risks and complications

Although infections of the wound area are possible, they are extremely rare after this type of eyelid surgery and are treated with antibiotics. 

It’s important to realise that a 100% perfect result is not always possible after surgery (especially when the ectropion has been around for a long time), so despite achieving a big improvement, in around 1 in 10 cases, no normalisation of lid position can be achieved.

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Augeninstitut ELZA
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Thomas S.
Thomas S.
09:37 07 Jul 21
My left eye had to be operated on because of a cataract. As I had an Artiflex lens implanted a few years ago, it had to... be removed first before a modern lens could be implanted to correct the cataract. Prof. Hafezi treated me in an very competent and friendly manner. I am very happy with the result.read more
Selma A. Rahim
Selma A. Rahim
19:45 02 Jul 21
Dr. Hafezi.. the KING OF CXL🤴
Gianluca Ricci
Gianluca Ricci
12:46 10 Apr 21
Great team and service!
rehaneyecare
rehaneyecare
05:36 08 Apr 21
Excellent surgeon
Steven H.A
Steven H.A
16:13 11 Jan 21
Prof. F. Hafezi s expertise is enormous and he has a very pleasant and calm nature which gives the patient... security.Thank youread more
Online Commande
Online Commande
09:19 05 Dec 20
Totally creepy, very arrogant Prof.He just want your money.It may explain, why this Prof. is not in the center of the... city of Zürich and why he has been thrown away from University of Geneva.read more
Elena Churilova
Elena Churilova
10:06 17 Nov 20
At the moment, 3 months have passed since the moment I made laser vision correction in this clinic. and I can say that... I am happy that I chose this particular clinic and Prof. F. Hafezi. The entire staff of the clinic is very friendly, treats patients with sympathy and patience if they are nervous before surgery (my big gratitude to Aida Alili for all support and patience). The doctor Hafezi and other doctors of the clinic are very professional and ready to explain to you as many times as you need. I can only recommend!read more
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Augeninstitut ELZA
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