Here the muscles are very weak and the eyelid droops. Usually this is a temporary problem and resolves over the following few weeks to months. Sometimes surgery is necessary to help protect the eye until full recovery takes place. Due to injury may distort the lower lid causing an ectropion. Potential causes include burns, cuts, or infections along the lower lids.
Treatment is aimed at keeping the eye protected and lubricated with artificial tears and ointments.
Sometimes infection is a problem, and antibiotics are necessary. Most often surgery is indicated to cure ectropion. The best operation for this condition tightens up the loose muscles that are causing the problem. If a scar is pulling the lid away from the eye, a skin graft or other procedure may be very helpful in replacing the lid to its proper position. Massage in the correct upward direction after surgery is helpful in some cases.