Eyelid Malpositions (Ptosis, entropion, ectropion and retraction)

Normally placed and well functioning eyelids are required for comfortable eyes which have good vision and aesthetics. Upper and lower eyelid malpositions are caused by a range of factors including ageing, trauma, tumour, swellings, infections, cysts and weakening of the facial nerves/muscles.

“Careful assessment of the eyelids and facial anatomy is the key to the correct diagnosis to provide an individualised tailored approach to the best treatment options” 

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Ptosis is when the upper eyelid is droopy. Mr Uddin has been treating patients with ptosis for over 25 years. From his extensive experience of treating patients with ptosis, Mr Uddin understands the impact that a change in a person’s appearance can have on their self-confidence, as well as their, such as affecting the ability to work and carry out day to day tasks.
For patients with ptosis, Mr Uddin undertakes a comprehensive assessment in conjunction with necessary investigations to find the underlying cause. He will then deliver a treatment plan specific to the individual.

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Upper eyelid retraction/lower eyelid traction/displacement

A high upper lid lid (retraction) or a low lower lid can make the eye look bigger, have more of the white of the eye showing and can result in poor eye closure

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Ectropion is a condition in which the eyelid becomes droopy, hanging loosely away from the eye and turned outwards.

Symptoms of ectropion

The eyes may water excessively and feel dry, gritty and irritated. Some people with the condition have red eyes, skin changes and increased sensitivity to light. Sometimes, it’s largely a cosmetic problem only


Entropion is when the eyelid turns or rotates inward causing the eyelashes and skin to rub against the surface of the eye.

It is important to distinguish from other cases of misdirected eyelashes (see below)

Symptoms of entropion

This can cause the eyes to water excessively, there may be redness, irritation, pain. Sometimes there may be discharge or crusting around the eyelid, Entropian can result in acute or sight-threatening eyelid ulcers.

Eyelash disorders

Problems with eyelashes may be due to abnormally directed lashes or abnormally growing lashes (Trichiasis, distichiasis, metaplastic lashes, madarosis). They can occasionally signify more serious underlying conditions.
Sometimes the whole eyelid turns in (epiblepharon/entropion).
It's important to distinguish the underlying cause.

What treatments are available for abnormal eyelashes?

  • Identify and treat the undying cause.
  • Lubricants and antibiotics can be used to treat the irritation.

Depending on the severity of the condition the following can be used:

  • Epilation involves periodical removal of eyelashes with fine forceps
  • Electrolysis- a special electrical current is applied to remove hair by destroying the hair root or follicle
  • Cryotherapy -freezing the eyelash follicles
  • Surgical excision of lash follicles
  • Surgery to eyelid in more complex cases

Floppy Eyelid Syndrome

Contact us

Moorfields Private Outpatient Centre

9-11 Bath St EC1V 9LF
London (Central London)

Moorfields Private Practice

8 Upper Wimpole St W1G 6LH
London (Central London)

Parkside Hospital

53 Parkside SW19 5NX
London (Wimbledon)

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