II. Causes
- Aging relaxes orbicularis Muscle
- Lower lid skin scarring
III. Symptoms
- Chronic eye irritation and tearing
IV. Signs
- Outward turning of lash margins of lid
- Always affects lower lid
V. Complications
- Palpebral Conjunctiva thickens and keratinizes
- Results from chronic exposure of Conjunctival surface
VI. Management
- Ophthalmology referral for surgical repair