When the lower eyelid droops, or turns outward, it may be a condition known as ""ectropion"" (eck-TROE-pe-un). It may occur as a normal consequence of aging, but it can also result from various inflammations or chemical burns. It can also be caused if the muscles are lax because of another condition, such as a facial nerve palsy (PAUL-zee). Scarring of the skin of the lower lid may also cause it to droop. Ectropion can involve either one or both eyes, and it may affect either a part of the lower lid, usually near the nose, or the entire lid. Another symptom of ectropion is a watery eye, because tears can't flow properly if the eyelid is not in a proper position to the eye. If your eyelid droop is minor, you may be bothered as much by the way it affects your appearance as by the way it makes your eyes feel. When the lid is turned out so that its reddish inner lining shows, it can be very noticeable. In more severe cases, the cornea and other surfaces of the eye can become irritated from chronic exposure, causing burning and the sensation of a foreign body being present. The inner surface of the eyelid can also become rough and red from chronic exposure and drying. Treatment for ectropion is outpatient surgical repair to relieve the chronic irritation caused by this condition. Before the operation, you can use an ointment to help protect the eye and prevent drying of the exposed areas. If your eyelid is drooping, contact a medical doctor known as an ophthalmologist (off-thul-MAHL-uh-jist) for a correct diagnosis and treatment.
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