HNY Central Digital Repository - Hull

Ectropion, Entropion or other functional impairment of the eyelids due to another condition e.g. thyroid eye disease, nerve palsy, eye prosthesis. 

This intervention is commissioned if: 

1. The position of the eyelid is causing recurrent corneal, conjunctival or punctum irritation OR 
2. There is symptomatic impact on vision, with visual field tests confirming vision is reduced to less than 120° laterally or less than 40° vertically 

AND 

conservative measures have failed to adequately control the symptoms. 

Looseness or excess of the skin in the lower lid may cause “eyebags” but does not affect function of the eyelid or vision and therefore does not need correction. Looseness or excess of skin in the upper lid may interfere with normal vision or function of the eyelids, which may require surgery to restore vision or normal function. Ectropion may cause excessive drying of the punctum or conjunctiva resulting in recurrent irritation or infection. Entropion may cause recurrent irritation of the cornea. 

Corrective surgery is not commissioned as a personal preference on cosmetic grounds. 

information-for-commissioners-of-plastic-surgery-services.pdf (bapras.org.uk)