Ectropion

Not to be confused with Cervical ectropion.

Ectropion
Cycatricial ectropion of lower lids - eyes open
Specialty	Opthalmology, dermatology

Ectropion is a medical condition in which the lower eyelid turns outwards. It is one of the notable aspects of newborns exhibiting congenital Harlequin-type ichthyosis, but ectropion can occur due to any weakening of tissue of the lower eyelid. The condition can be repaired surgically. Ectropion is also found in dogs as a genetic disorder in certain breeds.

Signs and symptoms

The clinical presentation of Ectropion is consistent with:

• Painful eyes
• Epiphora
• Chronic conjunctivitis
• Keratitis

• 

  Bilateral upper lid ectropion (with collodion membrane)

• 

  Cycatricial ectropion - closed eyes

Causes

• Congenital
• Aging
• Scarring
• Mechanical
• Allergic
• Facial nerve palsy
• Anti-cancer treatments such as erlotinib, cetuximab, and panitumumab, which block the function of EGFR (the epidermal growth factor receptor).

Diagnosis

Ectropion can usually be diagnosed with a routine eye exam and physical. The eyelid's muscle tone and tightness can be assessed by pulling gently on the eyelid.

Treatment

In terms of management the following is done in affected individuals:

• Artificial tears
• Ointment
• Surgery

Other animals

Ectropion in dogs usually involves the lower eyelid. Often the condition has no symptoms, but tearing and conjunctivitis may be seen. Breeds associated with ectropion include the Cocker Spaniel, the Saint Bernard, the Bloodhound, the Clumber Spaniel, and the Basset Hound. It can also result from trauma or nerve damage. Treatment (surgery) is recommended only if there is chronic conjunctivitis or if there is corneal damage. A small part of the affected lid is removed and then the lid is sewn back together.

See also

• Cervical ectropion
• Entropion

External links

Classification	ICD-10: H02.1, Q10.1 ICD-9-CM: 374.1 DiseasesDB: 4108 SNOMED CT: 127559009
External resources	MedlinePlus: 001007 eMedicine: oph/211