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.
When water begins to leak from the bottom of a water heater, it is time to replace it. Leaking is a sign of corroding and wear within the tank. Most hot water heaters last for at least 10 years, and some will stay in good shape for up to 20 years. Replace a water heat as soon as leaking is noticed to avoid flooding and additional clean up.