In patients with ectropion, the eyelids do not meet fully when the eyes are closed, leaving eyes overexposed and under protected. Ectropion is usually caused by tissue weakness brought on by aging. It may also be caused by facial nerve paralysis from certain conditions, including Bell’s palsy and stroke. Ectropion can also result from trauma, scarring from previous eye surgeries, or skin cancer.

Ectropion can cause:

  • Eye pain
  • Decreased vision
  • Chronic tearing
  • Eye infections
  • Crusting
  • A gritty feeling in the eye
  • Mucus discharge
  • Breakdown of corneal tissue from over exposure


This condition must be corrected before permanent damage is done to the eye. Ectropion surgery involves rolling the eyelid in, usually by making an incision hidden in the outer corner of the eye (“crow’s feet”). The procedure takes about 15 minutes and may be performed with local anesthesia in the office or in the operating room with IV sedation. Postoperative discomfort is minimal, and most patients can return to normal activities within a few days. Makeup and contacts can usually be worn after a week.

Dr. McCracken will meet with you to assess your individual situation and discuss any possible risks that you may experience. Request an appointment online or call the McCracken Eye and Face Institute today to set up an appointment for a consultation with Dr. Michael McCracken. In addition to treating ectropion, Dr. McCracken treats entropion, ptosis and eye socket fractures.