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Eyelid turning in or out (entropion or ectropion)

Also called: Entropion, ectropion, eyelid turning in or out, inward eyelashes

An eyelid that turns inward (lashes rub the eye) or outward (eye gets dry and red), usually from aging.

TreatmentLubricating drops, surgery
RiskEye surface damage

Overview

Entropion turns the lid inward so lashes rub the eye. Ectropion turns it outward, leaving the eye dry.

Both usually come from aging, but scarring or nerve problems can cause them.

Symptoms

Common signs:

  • Eyelid turned in or out
  • Feels like something is stuck in the eye

Less common

  • Red, watery, gritty eye
  • Crusting
  • Light sensitivity

When to get medical care

Call 911This isn't an emergency by itself. Call 911 for trouble breathing, chest pain, or fainting.
Get care todayEye pain, vision change, or light sensitivity.
See a doctor soonIrritated eye.

Causes

Aging, scarring.

Does it spread or run in families?

  • It isn't contagious. You can't catch it from someone else.

Who is more likely to get it

  • Older age

Diagnosis

A clinician examines.

Treatment

Protect the eye.

Self-care

  • Use artificial tears and ointment
  • Tape lid at night if advised
  • Use artificial tears during the day
  • Use ointment at night
  • Tape the lid if advised

Surgery fixes it.

Prevention

To lower your risk or prevent problems:

  • Protect eyes from injury

Which doctor treats this

  • Start with your primary care provider (family doctor or internist).
  • They may send you to an ophthalmologist (eye doctor and surgeon) or an optometrist.

Children, pregnancy, and older adults

  • Older adults: Most common.

Pregnancy and breastfeeding

  • If you're pregnant or planning to be, tell your prenatal provider about this condition.
  • Don't start or stop any medicine on your own. Some are safe in pregnancy and some need to be changed.
  • Ask before taking any pain reliever. The FDA advises avoiding ibuprofen and naproxen after 20 weeks unless your doctor says to.
  • Breastfeeding: Most medicines are fine, but ask. The NIH LactMed database lists what's known about each one.

Outlook

Fixable.

Surgery usually fixes it.

Getting ready for your visit

Bring a list of your symptoms and medicines.

Questions to ask

  • Is surgery needed?

Research studies

Research studies test new ways to find and treat health problems. Some are looking for volunteers. Talk with your doctor before joining one.

Search ClinicalTrials.gov for studies on Eyelid turning in or out (entropion or ectropion)

Sources

Last updated 2026-11-12.