EYELID MALPOSITIONS

Ptosis - A drooping eyelid (more than just extra skin) results from a weak elevating muscle. Ptosis surgery strengthens the weak muscle to raise the eyelid and permit normal movement of upper lid.

Right upper lid ptosis - congenital
Adult onset left upper lid ptosis

Ectropion - the lower eyelid is pulled down so it cannot protect the eye. The eye is chronically red, irritated, teary, and painful - the vision can be damaged. Surgery is necessary to tighten the lid back into normal position.

Entropion - the eyelid turns inward so that lashes scratch and damage the eye. Surgery is necessary to rotate the eyelid back to normal position so the eye is not permanently damaged.

Lid retraction in thyroid disease
Before surgery	After surgery