Eyelid Malpositions – Causes, Surgery & Treatment

What Is Eyelid Malposition?

An eyelid malposition, as the name suggests, occurs when the eyelids shift to an abnormal position due to the various causes. While the disorder is quite common, it doesn’t always require medical intervention unless it leads to visual or ocular problems.

Entropion is a condition that happens when the upper eyelid inverts or turns inward. Trichiasis may develop as a result of this. This is where the eyelashes begin to point in the direction of the eyeball. Entropion causes the eyelashes to rub into the front of the eye (cornea), causing redness, discomfort, watering, and poor vision. If left untreated, entropion can cause corneal and conjunctival trauma, resulting in corneal abrasions, scarring, and corneal thinning.
Ectropion eye is the external turning or sagging of an eyelid. It most often impacts the lower eyelid. Ectropion of lower eyelid causes excessive watering and impaired drainage of tears resulting in corneal and conjunctival trauma due to recurrent wiping of excess tears. If left untreated, ectropion can cause constant irritation in the eye and secondary scarring of the adjacent skin due to constant rubbing.

Do Eyelid Malpositions Occur In Children?

Ptosis can be seen in some children right from birth. Children with ptosis often lift their chins or raise their brows to improve their vision, and they may also have other eye-related issues. Ptosis puts them at risk for other eye disorders including amblyopia (lazy eye) and astigmatism.

Lateral Tarsal Strip Canthoplasty

This is one of the most common types of treatment for eyelid malpositions, especially for entropion and ectropion. The procedure primarily focuses on tightening the lower eyelid as needed to so improve the function and position of the eyelid.


Dermatochalasis can be surgically corrected with this technique. The excess skin is removed to improve the field of vision. The surgery causes a faint scar on the upper lid which is surgically aligned with the lid crease for better cosmesis in addition to functional improvement.

The Takeaway

Eyelids that function properly can be useful for both medical and aesthetic purposes. Resolving eyelid malposition is good for a person’s self-esteem and self-respect, regardless of the cause, and resolving the problem through adequate medical care may be well worth the effort.

If you’re looking for an efficient way to correct eyelid malposition in Adelaide, we recommend booking an appointment with our ophthalmologists at SA Eye Specialists. We will not only help make the correct diagnosis but will also strive to achieve the best results possible.


Request an appointment

An eye specialist may recommend undergoing eyelid surgery in order to correct your eyelid malposition. This will usually be performed as day surgery under local anaesthetic. The type of surgery required will depend on your condition and the assessment made by your eye specialist

Eyelid Mal-Position


Your GP or optometrist will need to refer you before you can make an appointment to see our Doctors. It is usually the case that any referral remains valid for 12 months. If you don’t have a current referral, Medicare will not pay the rebate and so you will be liable for the full cost of any consultations or treatment.


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