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Eyelid Malposition Treatment Houston

ECTROPION

This disorder of eyelid mal-position is due to outward turning of the eyelid, and has several causes. The most common cause is aging and others include scarring of the eyelid from over-exposure to sunlight, inflammation, tumor and post surgical trauma from an aggressive blepharoplasty. Seventh nerve palsy (stroke) can also cause this condition. A majority of patients that have this condition tend to be of the aging or involutional type. Initially, this outward turning of the eyelid will cause symptoms of dryness and redness of the eye with mild foreign body sensation. The condition can progress over time and become severe if not treated. If an ectropion is long standing, it may result in scarring the surface of the eye along with drying of the eyeball, which can become quite painful and threaten vision.

There are many ways to repair this condition. Treatment depends on which type of ectropion is evident and how severe the condition has become. Most cases will require some type of surgical intervention, which can be performed under local anesthesia with intravenous sedation. These surgeries are given on an out patient basis, and usually require 1-2 wks for recovery. Surgery involves an incision across they eyelid followed by shortening of the eyelid or reattachment of eyelid tendons. Occasionally, a skin graft is necessary to maintain the stability of the lid and prevent the condition from recurring.

ENTROPION
Chronic ocular irritation from eye lashes rubbing against the cornea

This is an eyelid mal-position disorder, which results in inversion of the eyelid margin. This condition may occur in upper and lower lids and may be unilateral or bilateral. There are many causes: congenital, spasm of lid muscles, aging changes and scarring of lid surfaces. When the lid margin becomes inverted, it may create symptoms of redness, mucous discharge and foreign body sensation. The lashes continually abrade the surface of the lid resulting in the above-mentioned symptoms. Repair is done as an outpatient procedure with intravenous sedation through a simple eyelid incision.