You are giving an 85-year-old nursing home resident her annu…
You are giving an 85-year-old nursing home resident her annual physical examination. She has a history of hypertension and hyperlipidemia. She is generally healthy and denies any concerns. On physical examination, you notice that the margin of the lower lid is turned outward, and the palpebral conjunctiva is exposed. The patient states that she has trouble with her eye constantly tearing. What is the most likely diagnosis?