Other causes of ectropion are scarring, burns, trauma (called cicatricial ectropion), spasm of the orbicularis muscle, which may affect either the upper or lower eyelid, or paralysis of the orbicularis muscle in which only the lower eyelid is affected.
It is possible that there is nothing wrong with your water heater. There is a pressure relief valve on top that may be releasing water because your primary water pressure reduction valve for the house is worn out. The fact that the leak is intermittent suggests this.
Troubleshooting where a leak originates could save a water heater from replacement. A leak does not always doom a hot water tank. Depending on where the leak occurs, you may be able to fix the problem before scrapping the tank.