Leslie Kasperowicz holds a BA in Social Sciences from the University of Winnipeg. She spent several years as a Farmers Insurance CSR, gaining a solid understanding of insurance products including home, life, auto, and commercial and working directly with insurance customers to understand their needs. She has since used that knowledge in her more than ten years as a writer, largely in the insuranc...

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Written by Leslie Kasperowicz
Farmers CSR for 4 Years Leslie Kasperowicz

Melanie Musson is the fourth generation in her family to work in the insurance industry. She grew up with insurance talk as part of her everyday conversation and has studied to gain an in-depth knowledge of state-specific car insurance laws and dynamics as well as a broad understanding of how insurance fits into every person’s life, from budgets to coverage levels. She also specializes in automa...

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Reviewed by Melanie Musson
Published Insurance Expert Melanie Musson

UPDATED: Nov 17, 2020

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Ectropion in dogs is a condition when the eyelids tend to droop or roll out.  It can occur in either one or even both eyes and usually affects the lower eyelids.

Ectropion will affect the conjunctival tissues that line the inner surface of the eyelids and will cover the entire eyeball.  The result is dry eyes and conjunctivitis.

The surface of the eye or the cornea may also dry out, which can lead to corneal inflammation or corneal ulcers.

Corneal damage can also impair your dog’s vision.

All of these conditions are painful for your pup.

Ectropion is usually diagnosed in puppies that are less than one year old.

Ectropion is usually inherited and is common in dogs with droopy skin.

Breeds That Are More Pre-disposed to Ectropion:

  • dog with ectropian droopy eyes

    St. Bernard

  • Great Danes
  • Bullmastiffs
  • Newfoundland
  • Cocker spaniel
  • Bloodhound
  • Bulldog
  • Basset Hound

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In addition to the high occurrence of Ectropion in certain breeds, the disease might also be a result of the following:

  • Injury to the eye
  • Damage it the nerve
  • Injured Cornea
  • Facial nerve paralysis
  • Infection of the eye tissue
  • Scarring as a result of an injury
  • Surgical overcorrection of ectropion
  • Hypothyroidism
  • Neuromuscular disease


  • Droopy eyelids (lower)
  • Redness in and around the eyes
  • Tearing
  • Eye infections
  • Pink eye
  • Conjunctivitis
  • The dog may paw at his eye
  • Brown staining underneath the eye


Your veterinarian will conduct a full physical and visual exam to assess the condition of the eye.

In older dogs, urine and blood tests might be taken to see if there is an unseen cause for the condition.

Corneal staining can help determine if there was corneal ulceration.

You may receive a recommendation of nerve or muscle biopsy, if nerve damage seems to be the cause.

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Depending on the severity of the ectropion, there are different treatment options.

In most cases, the inflammation can be treated with vet recommended eye drops, and some ointments are also helpful.

Surgery is typically recommended if the dog is suffering from chronic pinkeye or damage to the cornea.

The procedure involves removing part of the drooping lid and then sewing the lid back together.

A veterinarian can usually perform the procedure.

In severe cases, an ophthalmologist might be needed to perform the corrective procedure.


The prognosis for Ectropion is very positive.

Most surgeries will correct the droopy eye.

Your dog might have to undergo two surgeries, to avoid over-correction.   This will usually occur when there is additional swelling or tissue inflammation of the treated eye.

The medical treatment for ectropion is usually for the rest of your pup’s life.

If the Ectropion is treated on an older dog and there was corneal scarring, there tends to be diminished vision.

Can Pet Insurance Help With Ectropion?

If you have any of the breeds that are pre-disposed to ectropion, eye exams generally are recommended when your dog is a puppy.

Pet insurance can be very helpful to cover many of these costs, but only if your puppy or dog doesn’t yet have the condition and it is then called pre-existing.

With the cost of treatment ranging from $325 to $1,475 per eye, pet insurance plans like Healthy Paws can help offset up to 90% of the costs.

Pet insurance can help with not only the cost of testing and all the medical bills for this disease but also any related health conditions that might occur.

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The best way to prevent ectropion is to discourage breeding dogs with severe ectropion because it is passed along to the offspring.

Further, breeds that are pre-disposed to ectropion should be tested as puppies to get treatment started right away if any of the symptoms have occurred.

Pet insurance can certainly help offset some of these costs as it would for any breed-specific conditions.

If you are looking for a new pet insurance company that covers hereditary or congenital issues, our list of the best pet insurance companies is a great place to start.


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Cat Health Problems

Cat Breeds


We get it, your dog is like your child and when your puppy or dog has health problems it is scary. Luckily there is pet insurance companies that will help you pay for any veterinarian care they made need. Checkout the best puppy and dog pet insurance companies and learn about common puppy health issues and ailments in older pets


Common Health Problems:

Acral Lick Granuloma in Dogs

Alopecia in Dogs

Antifreeze Toxicity in Dogs

Aortic Stenosis in Dogs

Arthritis In Dogs

Bladder Stones in Dogs

Boxer Cardiomyopathy

Cataracts In Dogs

Cherry Eye in Dogs

Chronic Active Hepatitis in Dogs

Collie Eye Anomaly In Dogs

Constipation in Dogs

Cruciate Ligament Tear in Dogs

Cryptorchidism in Dogs

Cushing’s Disease in Dogs

Degenerative Myelopathy | Spinal Cord Disease In Dogs

Dementia in Dogs | Canine Cognitive Dysfunction

Demodicosis In Dogs

Dental Problems in Dogs

Diabetes In Dogs

Dog Comedones (Schnauzer Bumps)

Dog Diarrhea: What Can You Do To Help?

Dog Ear Infections

Dystocia in Dogs

Ectropion in Dogs

Elbow Dysplasia in Dogs

Entropion In Dogs

Eye Problems in Dogs

Fleas in Dogs

Gallbladder Obstruction in Dogs

Gallstones in Dogs

Gastroenteritis In Dogs

Glaucoma in Dogs

Heart Murmurs In Dogs | How To Identify Them

Hip Dysplasia in Dogs

Hot Spots On Dogs

Hyperparathyroidism In Dogs

Hypothyroidism In Dogs

Intervertebral Disc Disease In Dogs

Nasal Solar Dermatitis In Dogs

Patellar Luxation in Dogs

Progressive Retinal Atrophy In Dogs

Renal Failure in Dogs

Seizures in Dogs

Wobbler Syndrome In Dogs

The Dog Flu – Symptoms & Treatment for Canine Influenza

Dog Biting Nails