Grade 4 ectropion

Grade I: Only the lacrimal punctum (the tiny tear drain opening on the inner edge of the lid) turns outward away from the eye. Grade II: The entire eyelid margin turns outward, making the pink inner lining (palpebral conjunctiva) visible. Grade III: The turning is deeper, exposing the conjunctival fornix (the pocket where the inner eyelid meets the eyeball). Grade IV (in some scales): Severe complete eversion where deep tissues or both upper and lower lids are involved.

RPContributed byDr. Ridhima PaddaResident, .

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