| In ectropion and entropion, plastic surgery is usually necessary to bring the lid back to a near normal position. |
| The combination of a paralytic and a senile ectropion leads to a defect of eyelid closure in association with a disorder of lacrimal function. |
| This results in tears pooling in the cul-de-sac produced by the lower lid ectropion and resultant epiphora. |
| Canthorrhaphy is also desirable in some cases, especially when the ectropion affects the outer end of the lid. |
| Note the presence of everted columnar epithelium occupying a large portion of the ectocervix producing ectropion. |
| Paralytic lower lid ectropion was present in eight patients before the combined procedure and improved significantly in seven of these patients. |
