Ectropion and Entropion Repair: What You Need to Know

Ectropion and entropion are two common eyelid conditions that can cause discomfort and affect vision. Ectropion occurs when the eyelid turns outward, away from the eye, while entropion occurs when the eyelid turns inward, toward the eye. Both conditions can cause tearing, redness, irritation, and sensitivity to light. Fortunately, these conditions can be repaired through surgical intervention. In this article, we will discuss the causes and symptoms of ectropion and entropion, as well as the surgical options available.

Causes and Symptoms

Ectropion and entropion can be caused by a variety of factors, including aging, trauma, infection, or previous surgeries. In some cases, these conditions may be congenital, meaning they are present at birth. Regardless of the cause, both conditions can cause discomfort and vision problems.

Symptoms of ectropion include:

  • Sagging or drooping of the lower eyelid
  • Redness or irritation of the eye
  • Excessive tearing or dryness
  • Difficulty closing the eye

Symptoms of entropion include:

  • Inward turning of the eyelid
  • Scratching or irritation of the eye
  • Sensitivity to light or wind
  • Excessive tearing

Surgical Options

Ectropion and entropion can often be treated with surgical intervention. Depending on the severity of the condition, surgery may involve tightening or repositioning the eyelid or surrounding muscles.

Dr. Harleen Bedi is an oculoplastic surgeon who specializes in eyelid surgery and can provide a variety of surgical options to treat ectropion and entropion. These include:

  • Full-thickness eyelid repair: This procedure involves making an incision through the entire thickness of the eyelid to reposition or tighten the muscles and skin.
  • Lateral tarsal strip: This procedure is used to repair ectropion by repositioning the eyelid using a small incision in the corner of the eye.
  • Medial spindle: This procedure is used to repair entropion by tightening the muscles and tendons in the eyelid.

Before undergoing surgery, patients will typically undergo a thorough eye exam to determine the best course of treatment.

Recovery and Aftercare

Following surgery, patients may experience some bruising and swelling around the eyes, which typically resolves within a few days. Patients are typically advised to avoid strenuous activities and to keep the area clean and dry for several days after surgery. Eye drops or ointments may also be prescribed to help with healing and to prevent infection.

It is also important to follow any aftercare instructions provided by the surgeon, which may include regular follow-up appointments to monitor healing and ensure the success of the procedure.


Ectropion and entropion can cause discomfort and vision problems, but with the help of a skilled oculoplastic surgeon such as Dr. Harleen Bedi, these conditions can be effectively treated through surgical intervention. If you are experiencing symptoms of ectropion or entropion, talk to your eye care professional about your options for treatment and whether surgery may be a good option for you. With proper care and treatment, you can enjoy improved comfort and vision.

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