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Ectropion Causes, Diagnosis and Treatment Notes

Ectropion Causes, Diagnosis and Treatment Notes

Ectopion Definition:

Ectropion is the turning out of the eyelid (usually the lower eyelid) so that the inner surface is exposed.

Ectropion Causes:

  • Congenital
  • Aging
  • Scarring
  • Mechanical
  • Allergic
  • Facial nerve palsy
  • Anti-cancer treatments such as erlotinib, cetuximab, and panitumumab, which block the function of EGFR (the epidermal growth factor receptor).

Ectropion Symptoms:

  • Dry, painful eyes
  • Excess tearing of the eye (epiphora)
  • Eyelid turns outward
  • Long-term (chronic) conjunctivitis
  • Keratitis
  • Redness of the lid and white part of the eye

Ectropion Treatment:

Artificial tears (a lubricant) may relieve dryness and keep the cornea lubricated.

Surgery to tighten the muscles that hold the eyelids in place is usually effective. It may be performed as outpatient surgery with local anesthesia.

Atlas of Ectropion:

 

Ectropion

Ectropion

Modified Kuhnt Szymanowski Technique

Modified Kuhnt Szymanowski Technique

V-Y Operation

V-Y Operation

 

Ectropion Videos:

Ectropion surgery. Retractors reinsertion

Lower-eyelid tarsal ectropion is an unusual form of eyelid malposition in which the entire lid is everted. The cause is most likely the disinsertion of the lower-eyelid retractors. In 12 eyelids of six patients, a transconjunctival approach was used to reunite the retractors with the inferior tarsal border. In eight eyelids, a horizontal tightening procedure was also needed. The looping passage of fornix sutures through the full thickness of the eyelid created a vector force that helped rotate the lid margin inward. The subsequent formation of an inflammatory cicatrix induced by the absorbable sutures also contributed to maintain the lid in an upright posture. During follow-up periods ranging from 8 to 36 months, there were no instances of overinversion, recurrent ectropion, or suture abscess.

 

Lateral Tarsal Strip Surgical Procedure for the repair of involutional entropion and ectropion

Care must be taken when suspending the tarsal strip to the lateral orbital rim to preserve the almond shape of the lateral canthal angle. If mild to moderate upper eyelid laxity is present, suspension of the strip can result in upper eyelid overhang with lower eyelid and eyelash imbrication. We describe the lateral tarsal strip mini-tarsorrhaphy procedure that overcomes this problem. The technique provides excellent functional and aesthetic results and adds to the versatility of a time-tested procedure.

 

Ectropion Repair Lower Eyelid Post Over-Corrected Blepharoplasty

This video shows repair of severe ectropion post blepharoplasty. The patient has severe conjunctival exposure and irritation. A skin graft had to be used to relieve the downward traction causing the ectropion.

Ectropion Diagnosis and Treatment Notes

Source:Ophthalmology Videos

 

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Ectopion Definition: Ectropion is the turning out of the eyelid (usually the lower eyelid) so that the inner surface is exposed. Ectropion Causes: Congenital Aging Scarring Mechanical Allergic Facial nerve palsy Anti-cancer treatments such as erlotinib, cetuximab, and panitumumab, which block the function of EGFR (the epidermal growth factor receptor). Ectropion Symptoms: Dry, painful eyes Excess tearing of …

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Ophthalmology Notes
We do our best to simplify ophthalmology in Short Notes and exchange practical experiences between ophthalmologists all over the world.

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