Often known as Ectropion. This is a condition where the lower eyelid turns outwards. Most patients usually complain of dry, painful eyes, redness and excessive tearing often with the tears streaming down the face.
It can be caused by skin laxity which occurs as we advance in years or it could be due to more mechanical restrictions, such as a previous lower lid blepahroplasty being performed incorrectly or facial palsies. There are 2 different surgical procedures available to treat this condition, one is to tighten the muscle that holds the eyelid into position or if there is scarring present then a skin graft material maybe needed.