A rolling outwards of the lower eyelid such that it is no longer in contact with the eye.
Causes:
Age-related stretching and loss of support of the eyelid tissues.
Scarring of the skin below the lower eyelid that pulls the lid downwards.
Weakness of the muscles of the eyelid due to loss of the normal nerve supply (eg Bell’s palsy).
Rarely, large masses/tumours of the lid may cause the lid to droop
Clinical Features
Eyelid droops and edge of lid is no longer in contact with eye
Watering
Edge of eyelid may become inflamed
Eye may become dry and uncomfortable
Management
See ophthalmologist with expertise in eyelid surgery
Surgery is usually required to lift and tighten the lower eyelid and is normally carried out under a local anaesthetic as a day case
