Dawaa Reference

chronic

Ectropion (outward-turning eyelid)

Treatment options, dosing, cautions and Egyptian brands from the shipped Dawaa Reference card.

Evidence status

Checked against the sources named below

Sources3 sources

Ectropion - StatPearls (NCBI Bookshelf NBK441929) - https://www.ncbi.nlm.nih.gov/books/NBK441929/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD99.00 - condition scope only, no dose · No dose - referral pathway, no medicine given in primary care

Verified against1 document
  • No dose - referral pathway, no medicine given in primary care

Verified date2026-08

Presentation reference

Is it this?

Reference only, to read alongside your own examination.

Symptoms — what the patient reports (2)

  • Patients may report dry eye, eye rubbing, or a sense of eyelid instability [dry eye]
  • The unprotected eye dries out, and that dryness is what causes the redness, the watering and the feeling of something in the eye [foreign body · redness]

Signs — what you find (7)

  • The lower lid margin sits low, normally 1 to 2 mm above the corneal limbus, exposing more cornea than usual
  • In severe cases the tarsal conjunctiva is visible along with chronic conjunctivitis and keratinization
  • Exposure keratopathy can leave the cornea dry with punctate erosions or ulceration [corneal changes]
  • Lid laxity is assessed with a distraction test - pulling the lower lid down and out
  • A snap-back test times how long the lid takes to return against the eye after being pulled down
  • The eyelid margin turns outward, and it is usually the lower lid
  • Red flag: at the extreme the cornea takes punctate epithelial erosions, then ulceration, then permanent loss of vision [loss of vision]

If not this — what else fits (5)

  • Basal cell carcinoma
  • Bell palsy
  • Floppy eyelid syndrome
  • Ichthyosis is on the differential
  • Squamous cell carcinoma of the eyelid

SourceStatPearls "Ectropion" - disease-level clinical article

Presentation findings are traced to the source above.

1

NO DRUG THERAPY IN PRIMARY CARE (REFERRAL & ADVICE)

1st line
Adult dose and duration

Outward eversion of the eyelid margin, most often age-related, exposing the eye surface. A GP can offer lubricant drops/ointment to protect the exposed cornea while the patient awaits referral for surgical correction. - Refer, with advice

Paediatric dose

Children follow the same pathway: recognise and refer. No primary-care medicine is implied.

Dose source

No dose - referral pathway, no medicine given in primary care

Why

Outward eversion of the eyelid margin, most often age-related, exposing the eye surface. A GP can offer lubricant drops/ointment to protect the exposed cornea while the patient awaits referral for surgical correction.

Cautions
  • No medicine is prescribed for this in primary care - this entry is for recognition and referral. Anything given is decided by the service it is referred to.
  • RED FLAG - Corneal exposure with pain, redness or discharge risks exposure keratopathy or corneal ulceration: refer urgently.

Prices are indicative (dataset snapshot 2026-06); verify with the pharmacy.