II. Causes

  1. Aging relaxes orbicularis Muscle
  2. Lower lid skin scarring

III. Symptoms

  1. Chronic eye irritation and tearing

IV. Signs

  1. Outward turning of lash margins of lid
    1. Always affects lower lid

V. Complications

  1. Palpebral Conjunctiva thickens and keratinizes
    1. Results from chronic exposure of Conjunctival surface

VI. Management

  1. Ophthalmology referral for surgical repair

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