Ectropion
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Ectropion is a
medical condition A disease is a particular abnormal condition that negatively affects the structure or function (biology), function of all or part of an organism, and that is not immediately due to any external injury. Diseases are often known to be medica ...
in which the lower
eyelid An eyelid is a thin fold of skin that covers and protects an eye. The levator palpebrae superioris muscle retracts the eyelid, exposing the cornea to the outside, giving vision. This can be either voluntarily or involuntarily. The human eyel ...
turns outwards. It is one of the notable aspects of newborns exhibiting congenital
Harlequin-type ichthyosis Harlequin-type ichthyosis is a genetic disorder that results in thickened skin over nearly the entire body at birth. The skin forms large, diamond/trapezoid/rectangle-shaped plates that are separated by deep cracks. These affect the shape of th ...
, but ectropion can occur due to any weakening of tissue of the lower eyelid. The condition can be repaired
surgically Surgery ''cheirourgikē'' (composed of χείρ, "hand", and ἔργον, "work"), via la, chirurgiae, meaning "hand work". is a medical specialty that uses operative manual and instrumental techniques on a person to investigate or treat a pa ...
. Ectropion is also found in
dog The dog (''Canis familiaris'' or ''Canis lupus familiaris'') is a domesticated descendant of the wolf. Also called the domestic dog, it is derived from the extinct Pleistocene wolf, and the modern wolf is the dog's nearest living relative. Do ...
s as a
genetic disorder A genetic disorder is a health problem caused by one or more abnormalities in the genome. It can be caused by a mutation in a single gene (monogenic) or multiple genes (polygenic) or by a chromosomal abnormality. Although polygenic disorders ...
in certain breeds.


Causes

*Congenital *Aging *Scarring *Mechanical *Allergic * Facial nerve palsy *Anti-cancer treatments such as erlotinib, cetuximab, and panitumumab, which block the function of EGFR (the epidermal growth factor receptor).


Diagnosis

Ectropion can usually be diagnosed with a routine eye exam and physical. The eyelid's muscle tone and tightness can be assessed by pulling gently on the eyelid.


Ectropion in dogs

Ectropion in dogs usually involves the lower eyelid. Often the condition has no symptoms, but tearing and
conjunctivitis Conjunctivitis, also known as pink eye, is inflammation of the conjunctiva, outermost layer of the white part of the eye and the inner surface of the eyelid. It makes the eye appear pink or reddish. Pain, burning, scratchiness, or itchiness may ...
may be seen. Breeds associated with ectropion include the
Cocker Spaniel Cocker Spaniels are dogs belonging to two breeds of the spaniel dog type: the American Cocker Spaniel and the English Cocker Spaniel of which are commonly called simply Cocker Spaniel in their countries of origin. In the early 20th century, Cocker ...
, the Saint Bernard, the
Bloodhound The bloodhound is a large scent hound, originally bred for hunting deer, wild boar and, since the Middle Ages, for tracking people. Believed to be descended from hounds once kept at the Abbey of Saint-Hubert, Belgium, in French it is called, ''l ...
, the
Clumber Spaniel The Clumber Spaniel is a breed of dog of the spaniel type, developed in the United Kingdom. It is the largest of the spaniels, and comes in predominantly white with either lemon or orange markings. The name of the breed is taken from Clumber Pa ...
, and the
Basset Hound The Basset Hound is a short-legged breed of dog in the hound family. The Basset is a scent hound that was originally bred for the purpose of hunting hare. Their sense of smell and ability to ''ground-scent'' is second only to the Bloodhound.Har ...
. It can also result from
trauma Trauma most often refers to: * Major trauma, in physical medicine, severe physical injury caused by an external source * Psychological trauma, a type of damage to the psyche that occurs as a result of a severely distressing event *Traumatic i ...
or nerve damage. Treatment (surgery) is recommended only if there is chronic conjunctivitis or if there is
cornea The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical power ...
l damage. A small part of the affected lid is removed and then the lid is sewn back together.


See also

*
Cervical ectropion Cervical ectropion is a condition in which the cells from the 'inside' of the cervical canal, known as glandular cells (or columnar epithelium), are present on the 'outside' of the vaginal portion of the cervix. The cells on the 'outside' of th ...
*
Entropion Entropion is a medical condition in which the eyelid (usually the lower lid) folds inward. It is very uncomfortable, as the eyelashes continuously rub against the cornea causing irritation. Entropion is usually caused by genetic factors. This is d ...


References


External links

{{Congenital malformations and deformations of eye, ear, face and neck Dog diseases Disorders of eyelid, lacrimal system and orbit Congenital disorders of eyes