A normal, healthy eyelid should have a natural tension that allows it to cover and protect the eyeball. Occasionally, as a result of aging, sun exposure, trauma, or scarring, eyelid tension can become unbalanced, causing the eyelid to turn outward or inward.

Common Symptoms:

  • Itchy Eyes
  • Tearing
  • Recurrent Eye Infections
  • Red Eyes
  • Dry eyes

These symptoms are often treated with lubricating drops, Restasis®, anti-allergy drops, and blepharitis. In order for these treatments to be successful, the eyelids need to be in a normal anatomical position to allow tears to distribute over the surface of the eye. The position of the eyelids also contribute to the drainage of tears from the surface of the eye into the tear ducts. The lower lid positions can change with age, trauma, sun damage, injections into the eye or prior surgery. Ectropion is a condition where eyelid turns outward.

The out-turned eyelid may become red and irritated, resulting in discomfort, tearing, or recurrent eye infections. When the eyelid turns inward, this condition is called entropion. The in-turned eyelashes can irritate the eye, resulting in discomfort, redness, and corneal damage, often referred to as trichiasis. In many practice settings, lashes that are touching the eye are treated by targeting treatment at the root of the lashes. Dr. Kashyap performs permanent removal of the lashes during surgery, which repositions the eyelid and removes in-turned lashes at their base. 



Depending on which problem you have, there are various ways to repair the eyelid malposition. Dr. Kashyap performs a careful evaluation, discuss results with you, and details which procedure is recommended during the preoperative visit. The suggested treatment may be performed in office under local anesthesia or in an ambulatory surgical center under sedation.


You can expect to go home on the day of surgery. There is usually minimal to no pain after entropion or ectropion surgery, and most patients can resume normal daily activities within a week. A patch is placed over the eye and usually is kept in place for one to two days. Tylenol is recommended to ease the discomfort, which should subside within a few days. 

Arnica and Bromelain are recommended to take prior as well as after surgery to minimize the bruising and swelling of the face. Minor swelling and bruising generally resolve within one to two weeks of surgery, however healing time can vary between individuals. 

Cold compresses can help you through the healing period, and we may prescribe antibiotic ointment and/or eye drops.

Dr. Kashyap will see you for follow-up visits and will remove your sutures seven to 10 days after your procedure. Please avoid heavy lifting and strenuous exercise for two weeks.

Dr. Kashyap will let you know when it is safe for you to resume wearing eye makeup and contact lenses, usually within one to two weeks.

If you experience dry eye after surgery, we recommend artificial tears to keep your eyes lubricated.

Interested in learning more about treatment for eyelid malposition? Call us today at (347) 788-1841 to schedule a consultation with Dr. Kashyap today!

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