Ectropion

Also called Drooping lower eyelid or Turned-out eyelid

Ectropion is when the lower eyelid droops away from the eye and turns outwards. It usually affects both eyes and is most common in older people, because the eyelid tissues loosen with age. It can also be caused by facial nerve weakness, scarring or skin conditions.

Last updated Nov 9, 2026

What it is

It can make the eyes sore, red and watery, and increase the risk of eye infections because the eye is not protected properly.

Lubricating eye drops and ointment help with symptoms. A small operation to tighten the eyelid usually fixes it.

Common signs

  • The lower eyelid turning outwards
  • Watery eyes
  • Sore, red or gritty eyes
  • Frequent eye infections

How it is usually diagnosed

  • Examination by a GP, optician or eye specialist

Records worth keeping

Keeping these together makes each appointment easier, especially when you see a new doctor:

  • Eye clinic letters
  • Operation notes, if any

Questions to ask your doctor

  • Do I need surgery, or will drops be enough?
  • What is causing it?
  • How can I protect my eyes in the meantime?

When to get help right away

Call 112 or go to the nearest emergency department if you have:

  • A painful red eye with blurred vision or sensitivity to light

This page is general information. It is not a diagnosis and does not replace a doctor who knows your history. Medfold keeps your records organised; it does not interpret them.

Sources