Eyelid turning out

Also called ectropion. The lower lid sags away from the eye, often with watering.

What it is

Ectropion is a lower lid that falls away from the eye, so it no longer rests against it.

Symptoms

Constant watering, a sore red lid, dryness of the surface of the eye, and skin below the eye that becomes irritated.

Causes

Loosening with age, sun-damaged or scarred skin, facial weakness, or the pull of a previous scar.

When to get it checked

Have it checked if the eye waters constantly, feels dry and sore, or does not close fully.

How it is checked

Every plan starts with an examination by a consultant, not a photograph or a questionnaire.

  • Your consultant examines your lids, measures their height and position, and checks the surface of your eye and how well it closes. Photographs are taken for your record.
  • What your consultant finds is explained in plain English, there and then.
  • You leave with a written plan and, where treatment is right for you, a written fee.
  • You are never asked to decide on the day.

If surgery is not the right answer, your consultant will say so, and explain what happens if you do nothing.

Questions patients ask

Do I need a referral?

No. You can request a consultation directly. A letter from your GP or optometrist is helpful if you have one, and your insurer may ask for it.

Will I need surgery?

Not always. Your consultant will explain whether treatment is needed, what each option involves, and what happens if you do nothing.

What happens at the consultation?

Your consultant examines your lids, measures their height and position, and checks the surface of your eye and how well it closes. Photographs are taken for your record. You leave with a written plan and fee, and time to decide.

How soon can I be seen?

The clinic team will offer the first suitable appointment, and sooner where your consultant judges it urgent.