Senile Ectropion Correction
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SENILE ECTROPION
“Senile” or involutional ectropion results from age-related laxity or degeneration of eyelid support structures, when your eyelid turns away from your eyeball. Drooping of the eyelid causes exposure of the eyeball causing discomfort, inflammation and dryness due to the inadequate lubrication of the eye.
Ectropion can occur to both the upper or lower eyelid, but most commonly with the lower eyelid.
Causes:
- Aging: The most common cause in older adults due to the natural relaxation and stretching of the eyelid muscles and skin.
- Facial nerve palsy: weakness of the facial muscles can affect the eyelid position.
- Skin conditions: Eyelid skin diseases can lead to scarring ectropion
- Trauma or surgery: injuries or surgeries on the eye lid done previously can cause ectropion.
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Symptoms:
- Discomfort
- Vision disturbance
- Dryness giving a sandy, gritty feeling
- Sensitivity to light due to irritation of the cornea
- Redness and burning
Line of Treatment:
Lubrication: Artificial tears, gels and ointments can provide immediate relief from dryness and irritation. In some cases, eye lid taping may be done.
Surgery: May be performed with the aim of tightening the lower eye lid.
Home remedies: Use of eye drops as prescribed; use of moisture shield and proper eyelid wiping can help.
Since the elderly are fragile, slower healing, proper pre and post op care and careful follow – ups are essential.