Cicatrisation following solar damage, trauma, radiotherapy, burn, dermatitis
Possible management by Optometrist
Treatment
Ocular lubricants for tear deficiency/instability related symptoms (drops for use during the day, unmedicated ointment for use at bedtime)
Taping the lids closed at night is indicated when there is a risk of corneal exposure (assuming the ectropion will close; i.e. not cicatricial)
Advice
Mild cases require no treatment
Advise that lid rubbing may increase lid laxity
Management Category
Mild asymptomatic involutional cases
Normally no referral unless cicatricial
Monitor for deterioration
More severe cases possibly requiring surgery
Routine referral
Possible management by Ophthalmologist
Surgery, choice determined by nature, position and degree of ectropion
Occasionally tarsorraphy for paralytic ectropion
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