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    Subjects/Ophthalmology/Ectropion — Senile Lower Lid Eversion
    Ectropion — Senile Lower Lid Eversion
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    eye Ophthalmology

    A 68-year-old man presents with chronic tearing and redness of the left eye. On examination, the structure marked **A** in the diagram is noted to be everted away from the globe. The patient reports that tears constantly overflow onto his cheek, and the lower eyelid margin no longer contacts the eye surface. Which of the following is the PRIMARY mechanism responsible for this eyelid malposition in this patient?

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