{ "schema_version": 1, "kind": "condition", "id": "ectropion", "name": "Ectropion (outward-turning eyelid)", "category": "chronic", "sources": "Ectropion - StatPearls (NCBI Bookshelf NBK441929) - https://www.ncbi.nlm.nih.gov/books/NBK441929/ · ICPC-3 (WONCA International Classification of Primary Care, 3rd edition) class FD99.00 - condition scope only, no dose · Hypromellose ophthalmic solution, US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) · Viscotears Liquid Gel Eye drops (carbomer) SmPC sections 4.1 and 4.2 (eMC product 2310) · Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed. · Viscotears Liquid Gel Eye drops (carbomer) SmPC section 4.2 (eMC product 2310) - adults, 1 drop 3 to 4 times daily or as required depending on severity. Section 4.1 gives the indication as a tear-fluid substitute for dry eye conditions and for an unstable tear film.", "review_status": "reviewed", "verified_against": "Hypromellose ophthalmic solution, US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) · Viscotears Liquid Gel Eye drops (carbomer) SmPC sections 4.1 and 4.2 (eMC product 2310) · Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed. · Viscotears Liquid Gel Eye drops (carbomer) SmPC section 4.2 (eMC product 2310) - adults, 1 drop 3 to 4 times daily or as required depending on severity. Section 4.1 gives the indication as a tear-fluid substitute for dry eye conditions and for an unstable tear film.", "verified_date": "2026-08", "treatments": [ { "id": 667, "generic": "Hypromellose", "line": 1, "is_adjunct": false, "form": "eye", "strength_mg": null, "adult_dose": "1 or 2 drops into the affected eye as needed, used freely rather than sparingly", "adult_duration": "Continuously, until the lid is surgically repaired", "dose_source": "Hypromellose ophthalmic solution (Vista Gonio Eye Lubricant), US over-the-counter label, Directions (DailyMed SetID 00da365d-2988-9c9e-e063-6294a90a8931) - instil 1 or 2 drops in the affected eye(s) as needed.", "rationale": "With the lid margin turned outward the globe is no longer protected and the surface dries, and the article puts punctate erosions, ulceration and permanent vision loss at the end of that road. Its management begins almost always with lubrication using artificial tears, gels and ointments, with surgical repair for the lid itself. Four hypromellose products are marketed in Egypt.", "cautions": [ "Lubrication protects the cornea; it does not correct the lid. The article expects surgical repair to be needed for lasting protection.", "A facial palsy is the urgent version of this: the article warns that with the eye already compromised the cornea can decompensate quickly and scar, so that combination needs an ophthalmology opinion now rather than a routine referral.", "Reduced vision, a painful red eye or a visible corneal opacity means exposure keratopathy or ulceration, and is a same-day referral." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "1 or 2 drops as needed, the same as an adult. Ectropion in a child is usually cicatricial or congenital rather than age-related, and goes to oculoplastics early.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "HYDROBLEND 0.32% EYE DROPS 10*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL ADVANCED PHARMACEUTICALS (GAP) > MONOPHARMA PHARMACEUTICALS", "price_egp": 15.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "GENTEAL EYE DROPS 10 ML", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "NOVARTIS > NOVARTIS SCIENTIFIC OFFICE", "price_egp": 18.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "OPTILUBRIC 0.32% EYE DROPS 30*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "EVA PHARMA", "price_egp": 96.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "HYDROBLEND 0.32% EYE DROPS 30*0.5 ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "GLOBAL ADVANCED PHARMACEUTICALS (GAP) > MONOPHARMA PHARMACEUTICALS", "price_egp": 108.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "ectropion" }, { "id": 668, "generic": "Carbomer", "line": 1, "is_adjunct": false, "form": "eye", "strength_mg": null, "adult_dose": "1 drop of the eye gel into the affected eye 3 to 4 times daily, or as required by how severe the drying is", "adult_duration": "Continuously, until the lid is surgically repaired", "dose_source": "Viscotears Liquid Gel Eye drops (carbomer) SmPC section 4.2 (eMC product 2310) - adults, 1 drop 3 to 4 times daily or as required depending on severity. Section 4.1 gives the indication as a tear-fluid substitute for dry eye conditions and for an unstable tear film.", "rationale": "The article's lubrication is not only drops: it names artificial tears, gels and ointments together, because a watery drop drains away from an everted lid within minutes. A gel stays on the surface longer and is what covers the overnight hours, when the exposed cornea is at most risk. Three carbomer eye gels are marketed in Egypt.", "cautions": [ "A gel blurs vision for a few minutes after instillation, so it suits bedtime better than driving.", "Do not let the container tip touch the eye or any surface - the label warns this both injures the eye and contaminates the gel. Discard four weeks after first opening.", "Gel and drops complement each other rather than replace each other: drops through the day, gel overnight." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "The label states that use at the adult schedule in children and adolescents rests on clinical experience, with no trial data available.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [ { "trade_name": "VIDISEC EYE GEL 10 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "MINA PHARM > DR.MANN-GERMANY", "price_egp": 13.2, "pack_count": null, "unit_price": null, "strength_mg": 10000.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "THILOTEARS 3 MG EYE GEL 10 GM", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "ALCON > NOVARTIS SCIENTIFIC OFFICE", "price_egp": 19.2, "pack_count": null, "unit_price": null, "strength_mg": 3.0, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null }, { "trade_name": "OCCUPLUS EYE GEL DROPS 20 X 0.6ML SDU", "scientific_name": null, "normalized_ingredient": null, "manufacturer": "COC Farmaceutici > RX HEALTHCARE", "price_egp": 300.0, "pack_count": null, "unit_price": null, "strength_mg": null, "exact_strength": true, "exact_form": true, "discontinued": false, "also_contains": null } ], "condition_id": "ectropion" }, { "id": 669, "generic": "Referral & safety-netting (no drug therapy)", "line": 1, "is_adjunct": false, "form": null, "strength_mg": null, "adult_dose": "Outward eversion of the eyelid margin, most often age-related, exposing the eye surface. A GP can offer lubricant drops/ointment to protect the exposed cornea while the patient awaits referral for surgical correction.", "adult_duration": "Refer, with advice", "dose_source": "No dose - referral pathway, no medicine given in primary care", "rationale": "Outward eversion of the eyelid margin, most often age-related, exposing the eye surface. A GP can offer lubricant drops/ointment to protect the exposed cornea while the patient awaits referral for surgical correction.", "cautions": [ "The drug rows above are what the treating service gives. They are here so that the referral is an informed one and so the GP can recognise the regimen the patient comes back on - not as permission to start it without the referral.", "RED FLAG - Corneal exposure with pain, redness or discharge risks exposure keratopathy or corneal ulceration: refer urgently." ], "peds_mgkg_low": null, "peds_mgkg_high": null, "peds_max_mg": null, "peds_basis": null, "peds_unit": null, "peds_note": "The drug rows above are instilled, not dosed by weight. The referral threshold and the safety-netting are the same at any age.", "peds_min_weight_kg": null, "peds_max_weight_kg": null, "peds_age_min_months": null, "peds_age_max_months": null, "peds_age_bands": null, "peds_doses": null, "brands": [], "condition_id": "ectropion" } ] }