Malposition of the eyelid may include drooping as well as inward or outward turning of the eyelid. It is relatively common for a variety of reasons, including aging, trauma, or eyelid lesions. In addition to being aesthetically unappealing, eyelid malposition can cause severe irritation, burning, tearing, and decreased vision. There are two main types of eyelid malposition – these are called ectropion and entropion.

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Ectropion is the outward turning of the eyelid. This condition is most often associated with aging which can cause laxity of the eyelid, but can also be caused by facial nerve paralysis (including Bell’s palsy) or scarring of the skin around the eyes from a previous injury, surgery, or sun exposure. Ectropion can cause chronic irritation of the eyelid and eye. Patients with ectropion may experience excessive tearing, burning, crusting of the eyelid, discharge, and decreased vision.

Entropion is the inward turning of the eyelid, usually involving the lower lid. This condition is most often associated with aging which can cause a weakening of certain eyelid structures and laxity of the eyelid, but can also be caused by scarring from trauma or inflammation secondary to certain ocular diseases. Patients with entropion may experience constant irritation, scratchiness, tearing, and burning. Because the eyelid turns inward, a condition called trichiasis can occur. Trichiasis is the medical term for abnormally positioned eyelashes that grow toward the eye, touching the cornea or conjunctiva. This leads to watering, discomfort, foreign body sensation, and, if severe or prolonged, a corneal ulcer can develop.

Treatment

Because treatment is based on the patients’ unique situation, individualized treatment will be discussed at your consultation with Dr. Kropinak. Schedule your consultation today using our online form or by calling one of our offices in Hagerstown, Chambersburg, or Waynesboro.