Entropion Ectropion

Definition Inward rolling of lid margin Outward rolling of lid margin

Types 1.Cicatricial Entropion

1.Senile Ectropion

2.Spastic Entropion
2.Paralytic Ectropion

3.Senile Entropion 3.Cicatricial Ectropion

4.Mechanical Ectropion

4.Congenital Entropion
5.Congenital Ectropion

5.Infantile Entropion 6.Spastic Ectropion

Clinical Picture Mild: Symptomless Symptoms:

Watering of eye.

Severe:
Burning sensation (due to
Symptoms:
Lagophthalmos).

FB Sensation
Cosmetic Disfigurement.

Pain

Headache
Signs:
Reflex Lacrimation
Posterior lid margin is seen Punctum
Corneal Aection Photophobia + can be seen.
Blepharospasm

Degree of ectropion:

Signs:
Mild Puntum seen.

Posterior lid margin cannot be seen.

Moderate Palpebral Conjunctiva seen.

Lashes may rub on Cornea + Severe Lower Fornix seen.

Conjunctiva.

Signs of etiology.

Complications Corneal Complications:

Epiphora Eczema Dermatitis
Corneal ulcers + Opacities
Cicatricial Ectropion more Epiphora.

Superficial Vascularization.

Complications of Exposure:
Conjunctival Complications: Conjunctival Ulceration and/or
Conjunctival Ulceration and/or Keratinization.

Keratinization. Corneal Ulceration Ulcer w/

Lagophthalmos in lower of Cornea
with Straight upper edge.