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At least 109 records · Page 6Linked to original sources
PubMed2006

Severe cicatrical ectropion: repair with a large advancement flap and autologous fascia sling.

We present a 35-year-old male who, 9 years ago, had his right orbit and face injured in a gun blast accident resulting in severe cicatrical ectropion of the right lower lid. A large advancement facial flap with incision at the naso-labial fold was designed to repair the skin defect, and a strip of autologous fascia lata was grafted in the lower lid to serve as a static sling. The facial flap was dissected and elevated at the subcutaneous fat layer. With adequate separation of the flap and suspension sutures at the undersurface of the flap, tension free closure of the wound was obtained and the ectropion completely corrected. The postoperative course was uneventful and the patient very satisfied with the results.

Adult↗
PubMed1987

Efficacy of surgical treatment for paralytic ectropion.

Paralytic ectropion can be corrected with numerous procedures. Advocates of particular procedures have previously been unable to quote statistical rates of success for each procedure over significant lengths of time. This study reviews over 200 cases of paralytic ectropion, representing the spectrum of seventh nerve disease seen at an eye and ear specialty hospital and a general medical facility. Of all eyelid implantation devices 93 to 95% failed to work or needed reoperation by 3 years postoperatively. Soft tissue surgery without prosthetic implants or exoplants provided 60% success after a 3-year follow-up. Eyelid elevation or tightening coupled with surgery for facial reanimation produced a higher rate of success at 3 years (83%). An overwhelming number of patients (62%) complained of some degree of epiphora after any or all procedures. Based on these findings, soft tissue surgery without prosthetic implants or exoplants has a higher rate of success.

Ectropion↗
PubMed2006

The not-so-lazy-T: a modification of medial ectropion repair.

Medial involutional ectropion without excessive lateral canthal tendon laxity is often corrected using the lazy-T procedure. This procedure however carries a potential risk of canalicular damage, and locating the lower lid retractors can be difficult. We have developed a modification. Replacing the tarso-conjunctival diamond with a subconjuctival pocket posterior and inferior to the punctum, into which the lower lid retractors are advanced from the base of the wedge excision, which effectively ensures plication of the lower lid retractors while maintaining a straightforward procedure. The follow-up data on five procedures showed surgical and symptomatic success in all patients, without complications. These results confirm the efficacy of this modification of the lazy-T procedure in the correction of medial lower lid ectropion.

Blepharoplasty↗
PubMedDate not supplied

Acute onset transient ectropion associated with corneal ulcer.

We report a case of transient ectropion associated with corneal ulcer. The corneal ulcer responded well to treatment with fortified gentamicin and cefazolin. As the corneal ulcer healed, the eyelid simultaneously returned to its original position. We suggest that in the presence of involutional eyelid changes, even a minimal additional factor, such as conjunctival edema and blepharospasm, may cause transient ectropion.

Acute Disease↗
PubMed2001

Anthrax as the cause of preseptal cellulitis and cicatricial ectropion.

A 54-year-old female farmer with anthrax infection of the eyelids is presented. She was initially managed with high dose intravenous penicillin G treatment. Following complete healing of the eyelid lesions, significant cicatricial ectropion resulted. Her right lower eyelid ectropion was corrected by surgical reconstruction using full thickness skin graft after a period of 6 months during which the cicatrization process stabilized. Satisfactory cosmetic and functional improvement was achieved. Anthrax of the eyelid must be considered in the differential diagnosis of preseptal or orbital cellulitis and any reconstructive procedure should be attempted only after the cessation of the healing process.

Anthrax↗
PubMed1994

[Paralytic ectropion: lower lid suspension to the upper eyelid].

BACKGROUND: All operative procedures to improve paralytic ectropion leave problems and disadvantages concerning stability, tear dropping and cosmetic aspect. Our proposed surgical procedure tries to consider all consequences of a 7th nerve palsy concerning the eye: loss of static tonus with atony of the lower and upper lid followed by ectropion of the lower lid, enlargement of palpebral fissure and rising of the upper lid margin as well as loss of dynamic functions with incomplete lid closure, diminished associated movements of the lower and upper eye lid in upward and downward look. METHODS: 1. Symmetric tightening of lower and upper lid by fixation of the temporal tarsal ends at the origin of the lateral canthal tendon with combined shortening of the temporal angle. 2. Suspension of the lower lid by the upper lid achieved by connecting the free temporal tarsal ends and the medical canthal tendons 1-2 mm medial of the lacrimal puncta. PATIENTS AND RESULTS: Thus the following objectives are improved: 1. The lower lid follows the upper lid in upward look. 2. By the gravity of the lower lid the up-rise of the upper lid margin is repaired. 3. For the same reason the upper lid follows the eye movement in downward look. 4. Lid closure is improved. By our method functional and cosmetic results were satisfying in all 34 patients. Tear dripping of varying amount is to be mentioned most often as persisting problem. CONCLUSION: Our procedure disclosed a high stability. In a follow-up of 1 to 5 years no additional repair was necessary.

Aged↗
PubMed2001

Ectropion caused by periocular dermatitis.

A 78-year-old woman had ectropion of both lower eyelids 4 weeks after the appearance of dermatitis around the eyes. Treatment with topical corticosteroids resulted in disappearance of both dermatitis and ectropion within 10 days. No relevant contact allergies were found. Her advanced age and a familial tendency toward edema around the eyes, indicating preexisting loss of elasticity, probably facilitated this apparently rare reaction.

Administration, Topical↗
PubMed2003

Laser conjunctivoplasty: a new technique for correction of mild medial ectropion.

Thirty patients with mild medial ectropion of the lower lid were treated by Argon green laser. A diamond-shaped area (6 x 4 mm in size) on the medial part of the tarsal conjunctiva of the lower lid was burnt with overlapping spots until white blanching and visible contraction of tissue were seen. The apex of the diamond was kept 4 mm below the punctal opening. After an average follow-up of 6 months, functional success was achieved in 22/30 eyes. Anatomical success in terms of repositioning of the punctum was attained in 24/30 eyes. The only side effect noted was a mild burning sensation of the eyes lasting for two hours after the procedure. This is the authors' initial experience with a somewhat new and easy procedure to treat mild medial ectropion of the lower lid that can be performed on an outpatient basis.

Conjunctiva↗
PubMed1991

Extrinsic eyelid ectropion.

Extrinsic ectropion is caused by loss of skin around the orbital margins. Every patient with cicatricial ectropion should be assessed thoroughly to determine if the cause is intrinsic, extrinsic, or both. This assessment is extremely important when dealing with severe deformities after burns, cancer, or noma, for example. The assessment allows a proper planning of surgery. As a rule, the original size and location of the missing tissues should be recreated and the defect replaced by homologous tissues.

Cicatrix↗
PubMed1985

Nonsurgical management of postoperative cicatricial lower lid ectropion.

Two patients with postoperative cicatricial lower lid ectropion were managed by having the patient massage the lower lid in an upward direction over a methyl-methacrylate scleral ring. The ectropion was corrected. Such nonsurgical management may be attempted as an alternate initial therapy for the patient who refuses or should not immediately undergo additional surgery.

Aged↗
PubMed1992

Treatment of the paradoxic inversion of the lashes in ectropion.

Ectropion leads to chronic inflammation of the exposed conjunctiva. This inflammation can lead to shrinkage and to a cicatricial paradoxic inversion of the lashes. When the lid margin is surgically brought into its correct position, these lashes may become trichiatic. The surgical eversion of the lid margin at the time of the ectropion operation can prevent this complication.

Aged↗
PubMed2000

Ectropion and entropion.

This article reviews the etiology and classification of ectropion and entropion, two of the more common eyelid conditions seen by the ophthalmologist. The preoperative evaluation is important in determining the etiology of the lid malposition. Surgical correction should be directed to the anatomic changes present. A detailed discussion of the more useful surgical procedures to correct ectropion and entropion is presented.

Diagnosis, Differential↗
PubMed1985

Congenital ectropion uveae and glaucoma.

Congenital ectropion uveae is a rare condition which may be present in one or both eyes. If the patient is followed glaucoma will always be found to be present. Associated features which have been described are ptosis, Rieger's anomaly, Prader Willi syndrome, facial hemiatrophy and neurofibromatosis. This paper describes a patient followed for 18 years who had bilateral congenital ectropion uveae, bilateral ptosis, asthma and late onset of a dental defect.

Adolescent↗
PubMed1988

A case of congenital ectropion in Down's syndrome.

A rare case of primary congenital ectropion of all 4 eyelids in a child with Down's syndrome is reported to emphasise the problems of surgical management and to distinguish the condition from congenital eversion of the eyelids. Congenital ectropion is associated with other eyelid abnormalities and usually requires surgical measures to protect the cornea in contrast to congenital eversion which is characterised by the protrusion of oedematous conjunctiva from everted eyelids. This usually resolves spontaneously with simple supportive measures and no structural or functional eyelid abnormality remains.

Down Syndrome↗
PubMed1994

Age-related medial ectropion of the lower eyelid.

BACKGROUND: A simplified procedure is proposed for the repair of medial lower eyelid age-related ectropion. METHODS: A posterior horizontal incision is made in the medial half of the lower eyelid at the inferior border of tarsus. The lower eyelid retractors are exposed and then plicated to the tarsus without excision of posterior lamellae or the use of everting sutures. The lid is then shortened horizontally with excision of a pentagonal section or lateral tarsal strip procedure. RESULTS: The procedure was performed in six patients successfully without complication. CONCLUSIONS: This is an effective method for repair of lower lid medial age-related ectropion.

Age Factors↗
PubMedDate not supplied

Surgical management of cicatricial ectropion following scarring dermatopathies in two dogs.

Two dogs were presented with severe dermatopathies leading to cicatricial ectropion and severe surface ocular pathology. In one case, idiopathic sterile pyogranuloma was diagnosed on histopathology and managed with systemic immunosuppressive therapy. In the second case, demodicosis was diagnosed on skin scrapings and successfully treated with acaricidal medication. Following control of the underlying dermatopathies, both cases developed cicatricial ectropion as a result of scarring and contracture of eyelid tissue. Wharton-Jones (V-Y) blepharoplasties were performed on the affected eyelids and resulted in improved eyelid function and reduced corneal exposure in both cases.

Animals↗