EYELID MALPOSITION IN PAPHOS
Entropion and ectropion are eyelid-position problems that can affect eye comfort, watering, irritation, and protection of the ocular surface. Assessment focuses on eyelid anatomy, lid tension, tear film stability, corneal exposure, and the most appropriate way to restore comfortable eyelid function.
Entropion is inward turning of the eyelid margin. When the lashes or eyelid edge rub against the eye, patients may experience irritation, redness, watering, light sensitivity, foreign-body sensation, or recurrent corneal surface problems.
The aim of assessment is to understand why the eyelid is turning inward and whether the ocular surface is being affected.
Ectropion is outward turning or sagging of the eyelid. It can leave part of the eye more exposed and may interfere with normal tear drainage, causing watering, dryness, redness, crusting, or chronic discomfort.
Because eyelid position and tear film function are closely linked, ectropion is often assessed alongside dry eye and ocular surface findings.
Evaluation includes eyelid position, lid laxity, blink function, lash position, tear film behaviour, corneal surface health, and any associated inflammation or scarring.
Where symptoms overlap with dry eye, additional ocular-surface assessment may help clarify whether discomfort is mainly from eyelid position, tear instability, meibomian gland dysfunction, inflammation, or a combination of factors.
In carefully selected mild cases, non-invasive plasma-assisted treatment may be considered to support eyelid tightening and controlled tissue contraction. This approach may be described as PLEXR-based plasma-assisted non-invasive surgery, or PANIS, in some settings.
Patient selection is important. More significant eyelid malposition, scarring, marked laxity, corneal risk, or recurrent surface damage may still require surgical correction or referral for a different pathway.
Entropion and ectropion are not only cosmetic eyelid concerns. They can affect the cornea, tear film, eye comfort, and daily visual function.
Planning is therefore based on both appearance and eye health, with attention to natural eyelid position, ocular-surface protection, and realistic recovery expectations.
Related eyelid care
The eyelid and periocular care hub explains how eyelid position, skin laxity, lesions, wrinkles, and ocular-surface symptoms are assessed together.
Dry eye assessment may be relevant when irritation, watering, tear instability, or meibomian gland dysfunction overlaps with eyelid-position problems.
Diagnostic technology can support clinical decision-making when eyelid symptoms, tear film instability, and ocular-surface findings need to be interpreted together.
Non-surgical eyelid tightening is a separate treatment category, but some principles of plasma-assisted tissue contraction may overlap in selected functional eyelid cases.