Ectropion following entropion surgery: an unhappy patient and physician

Ectropion following entropion surgery is an uncommon situation that creates an unhappy patient and physician when it occurs. The precipitating events that lead to this situation may be related to a faulty understanding of the pathophysiology of the entropic process, utilization of an inappropriate technique, overcorrection of entropion repair, bleeding into the operative field with subsequent scarring of the lid, or a combination of the above. Correction of this situation requires restoration of the normal anatomy where possible, release of any scar bands, and often a lid-tightening procedure.