Ectropion Repair

Ectropion repair

Ectropion is a common lid malposition where the lower eyelid turns outward. This can cause discomfort, redness, watering and skin irritation. Ectropion usually happens due to loosening of the eyelid muscles and ligaments over time. It is more common with age and usually affects one eye, although both eyes can be involved.

Ectropion repair surgery

Ectropion repair is a surgical procedure that tightens the eyelid and returns it to its normal position against the eye. For mild to moderate cases, this usually involves placing stitches on the skin and deeper inside the eyelid. In more severe cases, a small skin graft or flap may be needed to support the repair.
When your lid is stitched back into place, it will be tighter to your eye as it was before the sagging began, and your eye will no longer be so vulnerable to irritants.

Ectropion Repair – Why Specialist Care Matters

Eyelid surgery involves working with the delicate tissues that protect your eyes and support vision. That’s why it’s important to choose an oculoplastic surgeon – an ophthalmologist with advanced training in eyelid and orbital surgery. In the right hands, complications are uncommon and usually minor.

At Progressive Vision, your care is led by Consultant Eye Surgeon Ms. Clare Quigley. Clare combines international fellowship training in the UK and Australia with experience as a Consultant Oculoplastic Surgeon in the UK. She is known for her surgical expertise, her outstanding academic achievements, and her compassionate, patient-first approach.

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What to Expect During Ectropion Repair at Progressive Vision

The procedure is done at our Swords clinic by an Eye Doctor. You will be in the clinic for about 2 hours. If you take blood thinners, like aspirin, please let your Eye Doctor know as you may need to pause them around the time of the procedure.

Before the surgery, we will take photographs of your eye.

  • Wear loose fitting, comfortable clothing (no hoodies or thick jumpers)
  • No eye make-up
  • You can eat, drink and take your any other medication as normal.
  • Arrange a lift to and from our state of the art clinic in Swords
  • As there will be a pad over one eye and you may have oral sedation it is best to have someone drive you to and from the appointment.
  • Numbing eye drops will be used to make the eye more comfortable during the procedure. You may also be given oral sedation to help you feel relaxed.

  • Consent – you’ll sign your consent form before surgery.
  • A local anaesthetic injection is given to numb the eyelid.
  • Your eye doctor makes a small cut (incision) on the lower eyelid, typically near the outer corner.
  • Through this incision, they tighten the loose muscles and tissues and use stitches to bring the eyelid back into its normal position.
  • In more severe cases, a small skin graft may be needed.
  • The incision is closed with sutures, which are usually removed 1–2 weeks later.

  • Recovery (in clinic) – 40 minutes with cold compress, pads removed, tea/coffee, post-op instructions given.
  • After the procedure, the eye patch should remain in place overnight, unless surgery was done on both eyes; in that case, your doctor will give you specific instructions.
  • Once the patch is removed, you should apply a cold compress every 1 to 2 hours, for 15 minutes, for the first two days to help reduce swelling.
  • Use a soft cloth barrier between the ice pack and your skin.
  • Swelling and bruising usually settle over 1 to 2 weeks.
  • Post-operative care also involves gently cleaning the stitch line with boiled, cooled water and applying ointment twice daily until the stitches are removed.
  • Stitches are usually taken out 1 to 2 weeks after the surgery.
  • If you need to have a skin graft or flap, the post-op instructions will vary; this will be discussed with you.
  • You should not do any strenuous activity until the stitches have been removed.
  • This includes heavy lifting, manual work, gardening, and vigorous cleaning.
  • If you are working, please let us know, as you may need to take some time off depending on the type of job you do.

  • You will be on an antibiotic ointment twice a day for 2 weeks after the procedure until your stitches are removed.
  • You can also use preservative-free lubricating drops if your eye feels dry or irritated.

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Please fill out the information below and we will contact you to discuss the best possible time for an appointment or for a general enquiry.

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Rkn1701 Rkn
17 August 2026
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Excellent service from the best friendly professional people. Could not ask for better
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Anne Battle
17 August 2026
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Always a pleasant visit. Professional and friendly.
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Donal O'Siochain
5 August 2026
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As always pain free treatment and continued excellent vision
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James Norton profile picture
James Norton
23 July 2026
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From the moment you enter the door the staff at PV are extremely attentive and helpful. Their clinical services are excellent and it’s very reassuring to know that you are being given the best possible treatment.
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Lily Corcoran
25 June 2026
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I had a very good experience. Both Mark Cahill and his team are very professional, customer focused and very friendly. Would highly recommend Progressive Vision.
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Emily Herbert
21 June 2026
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We had a fantastic experience from start to finish. From the initial emails to the checking in process and especially the exam, the team at Progressive Vision were excellent. My child and I had a less than stellar experience at a national chain so we approached Progressive Vision as a self referral and they were upfront and professional throughout. Emma who did the exam was exceptionally patient, informative, clear, understanding, and compassionate with myself and my child who struggles with sensory experiences like bright lights and eye drops. Everything was handled so well and the staff behind the desk were very friendly and helpful as well. Would highly recommend this practice to anyone.
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Tina O'reilly
18 May 2026
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To all the team at progressive vision I really want to say a massive Thank You for the care , help , reassurance and patience during my blepharoplasty that I had done in Feb of this year , Claire and the team are just fantastic !! I can't tell you how happy I am with the results , it has made such a massive difference to me in everyway . From my first consultation right through the whole experience and the aftercare the whole journey was just so professional and I just new I was in the right hands from the get go ! . So Thank you all once again, I can't recommend you enough, definitely a 5 star in every way. Keep doing what you do you are making such a difference to people lives . Well done . Best regards Tina
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Mary O’Brien
17 May 2026
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I am very satisfied with the treatment I receive at Progressive Vision. The staff are professional and competent and pleasant. I am most grateful to Mark Cahill and his team for the treatment I receive. Thank you sincerely
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Mrs Obrien
14 May 2026
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Excellent care always. The staff are so kind and professional .
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Paul Collins
6 March 2026
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I was treated recently by the Progressive Vision team (Swords and Sandyford) and the engagement throughout was friendly, punctual and professional. I’d recommend them to anyone needing vision treatment. I’d like to particularly thank Ciara, Leah, Barbara, Susan, Clare, Fionnula and Denis.