Ectropion Repair / Everted Eyelids

Ectropion (“Everted” Eyelid) Repair

Dr. Soroudi is a world expert in “functional” Ocular Plastic Surgery (“Oculoplastic”) Surgery. Having successfully treated thousands of conditions that affect the “function” of the human eyelids (everted eyelids, inverted eyelids, droopy eyelids, eyelid tumors, etc), he has become a specialist in treated such conditions.

Dr. Soroudi actually wrote his master degree’s thesis in conditions that affect the eyelids and the human orbit, and he spent two years with his mentor, Dr. Robert Alan Goldberg, Chief of the Division of Ophthalmic Plastic & Reconstructive Surgery at UCLA to learn how to treat such conditions.

The eyelid structure is very much like an elastic band in nature; it gently stretches over the eye and hugs it. The eyelids allow our natural tears to moisten our eyes and corneas during blinking and help keep the eye moist at all times. The eyelid anatomy is very much like a person wearing sweat pants that hugs his / her stomach; the elastic band keeps the pants from falling down.

For a variety of reasons, some people lose this elasticity, which causes their eyelids to unfurl. Once the eyelid is away from the eye itself, the tears, instead of rolling down the eyes and draining through the nose, start to pool and run down the cheeks (this is called epiphora). Also, by not doing their usual job of constantly lubricating the eye, people with ectropion suffer from:

  • Severe dry eyes
  • Tearing
  • Redness
  • Pain
  • Ulceration
  • Bleeding

Sometimes, this occurs because of old age and poor elasticity. Sometimes, it’s due to “heaviness” of the lower eyelid (fat prolapse or a tumor), literally pulling the eyelid down. Sometimes, it’s due to previous surgery (skin cancer) that scars the lower eyelid tissue down and prevents it from closing. No matter the cause, Dr. Soroudi can devise an expert plan as to how to achieve the best results with the least amount of surgery (minimally invasive treatment).

Learn More About Ectropion Treatment

In his own medicare-certified surgery center (highest level of certification), under monitored anesthesia with an anesthesiologist present (not in some back office), he uses 1% Lidocaine with 1:100,000 dilution epinephrine to anesthetize the affected area and tighten the loose eyelid cartilage. If necessary, he uses skin grafts or rotational grafts to provide the best appearance and function to the lower eyelid. This surgery is usually done under 20 minutes.

Under Dr. Soroudi’s care, Ectropion repair is done with minimal sedation, and you may return to all your usual activities within a day or two.

If you suffer from ectropion, contact the Soroudi LASIK & Eye Center today to request your consultation and learn more about your available treatment options.

Dr. Soroudi’s actual patient (treated by a Lateral Tarsal Strip Procedure in both eyes under local anesthesia)

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