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Sometimes the eyelid may be so loose that the eyelid actually falls away from the eye itself. Some cases result from tightening of the skin which pulls the eyelid away from the eye, also known as a cicatricial ectropion.

Surgical tightening of the eyelids is performed either in the office or in the ambulatory surgery center. Patients note improvement in most cases. The irritation, tearing, and dry sensations can continue to improve for months after the eyelid tightening.