It is the eversion or opposite torsion of the eyelid, leaving the inner surface of the eye exposed, affecting both lower eyelids more frequently, the main function of the eyelids is to keep moisture in the eyes, as well as clean impurities, when we close our eyes It is a reflex act of protection, the causes of Ectropion are not very common, such as congenital malformations, trauma, scars, paralysis or loss of the orbicularis oculi muscle, burns or sensitivity, causing discomfort on contact with the eyelashes, with the aging the connective tissue of the eyelid becomes weak, turning out.
They occur in children with Down syndrome, causing painful eye discomfort such as dryness, keratitis, chronic conjunctivitis, recurrent infections, sclera, redness of the affected area, which does not require a special examination to diagnose it, with an examination of the eye and eyelids is enough.
The treatment with an artificial lubricant can reduce dryness of the cornea, as it is very important lubricated keep as cold gel, but the surgery the fastest solution and effective, consisting of repositioning the lid into place by a line or cutting under the eyelashes, then fixing it with sutures, it is an outpatient procedure with local anesthesia, but with intravenous medication to keep the patient calm by means of a light sedation that simulates being asleep. The prognosis is good with simple medication and a recovery of one week to two, since it cannot be prevented and if it is not treated in time it brings complications such as corneal ulcers, infections,sensitivity to light, loss of vision.
