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Ectropion

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1. Ectropion

Ectropion Ectropion submit The College submit You're here: Ectropion Ectropion The CMGs are guidelines on the diagnosis and management of a range of common and rare, but important, eye conditions that present with varying frequency in primary and first contact care. Share options Aetiology Outward rotation of the eyelid margin (usually lower). Occurs in approx. 4% of the population over 50 (bilateral in 70%). Various causes: involutional (age-related degeneration) most common horizontal lid (...) with age Symptoms Sore, red, watery eye Symptoms variable depending on severity Signs Inferior lid margin not in contact with globe: region involved may be punctal, medial, lateral, or tarsal (complete) involutional ectropion typically begins medially; central lid margin and lateral lid may become involved later Keratinisation of exposed tarsal conjunctiva Lower punctum not in contact with tear meniscus: Lower punctum not in contact with tear meniscus: if punctum is spontaneously visible at slit lamp

2018 College of Optometrists

2. Bilateral, presumed congenital ectropion uveae in a patient with pathologic myopia (PubMed)

Bilateral, presumed congenital ectropion uveae in a patient with pathologic myopia 30128365 2018 11 14 2451-9936 11 2018 Sep American journal of ophthalmology case reports Am J Ophthalmol Case Rep Bilateral, presumed congenital ectropion uveae in a patient with pathologic myopia. 119-120 10.1016/j.ajoc.2018.06.017 Kolomeyer Anton M AM Department of Ophthalmology, Scheie Eye Institute, University of Pennsylvania, Philadelphia, PA, 19104, USA. Kim Benjamin J BJ Department of Ophthalmology, Scheie (...) Eye Institute, University of Pennsylvania, Philadelphia, PA, 19104, USA. eng Journal Article 2018 06 20 United States Am J Ophthalmol Case Rep 101679941 2451-9936 Congenital Ectropion uvea Lattice degeneration Pathologic myopia 2018 01 05 2018 04 22 2018 06 19 2018 8 22 6 0 2018 8 22 6 0 2018 8 22 6 1 epublish 30128365 10.1016/j.ajoc.2018.06.017 S2451-9936(18)30010-0 PMC6098174 Ophthalmology. 1983 Jun;90(6):721-8 6193475 Ophthalmology. 1984 Apr;91(4):326-31 6425761 Ophthalmologica. 1998;212(1):63

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2018 American journal of ophthalmology case reports

3. Angle closure glaucoma in congenital ectropion uvea (PubMed)

Angle closure glaucoma in congenital ectropion uvea Congenital ectropion uvea is a rare anomaly, which is associated with open, but dysplastic iridocorneal angles that cause childhood glaucoma. Herein, we present 3 cases of angle-closure glaucoma in children with congenital ectropion uvea.Three children were initially diagnosed with unilateral glaucoma secondary to congenital ectropion uvea at 7, 8 and 13 years of age. The three cases showed 360° of ectropion uvea and iris stromal atrophy (...) in the affected eye. In one case, we have photographic documentation of progression to complete angle closure, which necessitated placement of a glaucoma drainage device 3 years after combined trabeculotomy and trabeculectomy. The 2 other cases, which presented as complete angle closure, also underwent glaucoma drainage device implantation. All three cases had early glaucoma drainage device encapsulation (within 4 months) and required additional surgery (cycloablation or trabeculectomy).Congenital ectropion

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2018 American journal of ophthalmology case reports

4. Cicatricial ectropion in a patient treated with dupilumab (PubMed)

Cicatricial ectropion in a patient treated with dupilumab To describe a case of bilateral conjunctivitis and cicatricial ectropion associated with dupilumab therapy for atopic dermatitis.Severe hyperemia of the conjunctiva and eyelid margins, as well as cicatricial ectropion, began two months after starting weekly dupilumab injections for atopic dermatitis. The findings worsened over the next several months and improved after discontinuing dupilumab.Dupilumab is a promising intervention (...) in the management of atopic dermatitis and asthma, however, little is known about its potential ocular adverse effects. We report the first case of dupilumab-associated ocular inflammation leading to cicatricial ectropion.

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2017 American journal of ophthalmology case reports

5. A lateral tarsorrhaphy with forehead hitch to pre-empt and treat burns ectropion with a contextual review of burns ectropion management (PubMed)

A lateral tarsorrhaphy with forehead hitch to pre-empt and treat burns ectropion with a contextual review of burns ectropion management Facial burns around the eyes and eyelid ectropion can lead to corneal exposure, irritation, dryness, epiphora, infection or visual loss. We undertook a review of the published articles describing management of eyelid burns as well as methods to treat or prevent ectropion. We describe early experience of a surgical technique that we have found to mitigate (...) ectropion in facial burns with peri-ocular involvement.Two illustrative cases with our surgical technique is described from our experience of three cases. We reviewed the literature using the PubMed and EMBASE databases using the search terms 'burn' and 'ectropion'.The literature review produced a total of 17 relevant papers. Treatment options for eyelid burns were varied and were invariably level 4 or 5 evidence. Various techniques were used to treat eyelid burns including the use of a full thickness

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2016 Scars, Burns & Healing

6. Simultaneous Lateral Tarsal Strip and Medial Spindle Procedures for Cicatricial Ectropion. (PubMed)

Simultaneous Lateral Tarsal Strip and Medial Spindle Procedures for Cicatricial Ectropion. Lateral tarsal strip (LTS) and medial spindle (MS) procedures are surgical techniques used to address cicatricial ectropion.To evaluate the clinical characteristics and efficacy of simultaneous LTS and MS procedures for repair of cicatricial ectropion occurring after dermatologic surgeries.A retrospective review of all cases of symptomatic, cicatricial, lateral, and medial punctal ectropion in 1 author's (...) (C.C.) practice over 2 years was performed. Those resulting from dermatologic surgical procedures and repaired with simultaneous LTS and MS procedures were included.Fifty-six tumors involving the lower eyelid were considered highly at risk and treated with Mohs micrographic surgery and reconstruction in the senior author's practice during the review period, resulting in 3 (5.3%) cases of cicatricial ectropion. Five additional cases resulted from Mohs surgery and 7 resulted from excisions

2019 Dermatologic Surgery

7. Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion. (PubMed)

Lateral tarsal strip versus lateral tarsal strip with three-snip punctoplasty for managing epiphora in involutional ectropion. To compare the efficacy of two surgical techniques-lateral tarsal strip (canthoplasty) alone, and lateral tarsal strip with three-snip punctoplasty-in reducing epiphora arising from involutional ectropion with partial punctal stenosis.Fourty patients with involutional ectropion and partial stenosis of the lacrimal punctum were randomly allocated to two treatment groups (...) , and no significant adverse events or complications occurred. Finally, the mean improvements in the dryness/keratitis score (using the Oxford scheme) were comparable between the 2 groups (P=0.34).The study findings indicate that treatment of involutional ectropion with partial punctal stenosis by lateral tarsal strip with three snip punctoplasty does not provide greater reduction in discomfort secondary to epiphora than conventional lateral tarsal strip alone, except for specific situations such as night driving

2019 Journal francais d'ophtalmologie

8. The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion. (PubMed)

The Use of a Double Suture and Conjunctival Cuts in the Lateral Tarsal Strip: A New Approach to Involutional Ectropion. To describe the use of a double suture and conjunctival cuts in the lateral tarsal strip (LTS) and to evaluate postsurgical outcome in patients with severe involutional ectropion.A prospective randomized study was conducted on 16 eyelids of 8 patients with symptomatic severe involutional ectropion. The 8 patients were between 62 and 79 years. They were distributed into 2 (...) between the 2 groups with P value <0.05.The use of a double suture and conjunctival cuts in the lateral tarsal strip proposed by Meduri showed a reduction of postsurgical ectropion's grade and postsurgical recurrences. This technique could be used for the treatment of patients with a severe ectropion.

2019 The Journal of craniofacial surgery

9. Correction of cicatricial and involutional lower eyelid ectropion with hyaluronic acid (PubMed)

Correction of cicatricial and involutional lower eyelid ectropion with hyaluronic acid 30094302 2019 02 26 2352-5126 4 7 2018 Aug JAAD case reports JAAD Case Rep Correction of cicatricial and involutional lower eyelid ectropion with hyaluronic acid. 628-630 10.1016/j.jdcr.2018.04.014 Mitchell Daniel A DA Moy-Fincher-Chipps, Encino, California. Lyons Alexis B AB Moy-Fincher-Chipps, Encino, California. Moy Ronald L RL Moy-Fincher-Chipps, Encino, California. eng Case Reports 2018 07 20 United (...) States JAAD Case Rep 101665210 2352-5126 HA, hyaluronic acid alternative alternative treatment canthal tendon laxity cicatricial collagen production droopy eyelid ectropion eyelid eyelid correction eyelid repair filler hyaluronic acid inferior eyelid injection involutional lower lid neo-collagenesis non-surgical restylane 2018 8 11 6 0 2018 8 11 6 0 2018 8 11 6 1 epublish 30094302 10.1016/j.jdcr.2018.04.014 S2352-5126(18)30114-0 PMC6072654 Arch Dermatol. 2007 Feb;143(2):155-63 17309996 Br J Dermatol

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2018 JAAD Case Reports

10. Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries (PubMed)

Case report of Wolfe grafting for the management of bilateral cicatricial eyelid ectropion following severe burn injuries Eye lid reconstruction followed by severe, extensive body and facial burns represents a surgical challenge due to difficulties to obtain proper, healthy skin graft, tissue ischemia and necrosis.We present a reconstructive lid surgery of cicatricial bilateral lower eyelid ectropion in a case of 31-year-old man who sustained thermal injuries, affecting more than 60% of total (...) of choice of the graft type has been much debated question; however, significantly less reoccurrence rate of ectropion was observed using FTSG. Time of grafting should be balanced to avoid excess granulation and, thus scaring caused by delayed grafting time, or poor graft adherence caused by premature grafting. An interruption of the marginal arcade vessels should not be performed due to already severe ischemic process and increased risk for lid necrosis.Major issues when addressing cicatricial

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2018 Annals of Medicine and Surgery

11. Efficacy of lateral eyelid-block excision with canthoplasty and full-thickness skin grafting in lower eyelid cicatricial ectropion. (PubMed)

Efficacy of lateral eyelid-block excision with canthoplasty and full-thickness skin grafting in lower eyelid cicatricial ectropion. To report on the outcomes of our preferred surgical technique for the correction of lower eyelid cicatricial ectropion METHODS: We conducted a retrospective, nonrandomized, interventional analysis of a consecutive case series of patients with cicatricial lower lid ectropion treated with adhesiolysis, lateral eyelid-block excision with canthoplasty and full (...) ) for residual or recurrent ectropion, with favourable outcomes. There was 100% viability of the skin grafts.Repair of lower eyelid ectropion with lateral block excision, canthoplasty and full-thickness skin grafting is an effective procedure with minimal donor site morbidity, excellent graft survival rates and a low reoperation rate.© 2018 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

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2018 Acta ophthalmologica

12. The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid (PubMed)

The vertical orbicularis oculi muscle turn-over procedure for the correction of paralytic ectropion of the lower eyelid Static reconstruction surgery that tightens the tension of the inferior tarsus, thereby raising the lax lower eyelid, is a common treatment for paralytic ectropion of the lower eyelid. We present one such operative procedure, in which an orbicularis oculi muscle flap was used.The surgical technique involves partial resection of the tarsus and the skin, as well as a superior (...) -based orbicularis oculi muscle flap that is sutured to the firm tissue present on the Whitnall tubercle. The muscle flap is approximately 7 mm in width and 15 mm in length, with a superior pedicle that is attached to the tarsus at the medial point of the resected tarsus. The procedure results in contact between the ocular surface and the lower eyelid.The procedure was performed in 11 patients with lower eyelid ectropion due to facial paralysis. Ten cases showed a favorable outcome following surgery

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2018 Archives of plastic surgery

13. Algorithm for the management of ectropion through medial and lateral canthopexy (PubMed)

Algorithm for the management of ectropion through medial and lateral canthopexy Patients with ectropion experience devastating symptoms. Therefore, the prevention and management of this condition are of utmost importance. To treat ectropion, it is important to perform medial and lateral canthopexy in an effective way. In this study, we propose a comprehensive algorithm for the prevention and management of ectropion based on a new classification of ectropion according to its signs (...) and causes.Canthopexy was performed in 68 cases according to the proposed algorithm, which starts with a categorization of the types of ectropion and ends with the recommended operative technique. To assess the results, we reviewed clinical preoperative and postoperative photographs. To evaluate improvements in patients' symptoms, we conducted a survey with responses scored on a Likert scale.None of the patients had scleral show postoperatively. The average patient satisfaction score was satisfied or higher for all

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2018 Archives of plastic surgery

14. Modified lateral tarsal strip for involutional entropion and ectropion surgery. (PubMed)

Modified lateral tarsal strip for involutional entropion and ectropion surgery. Our purpose was to assess our outcomes in involutional lower eyelid ectropion and entropion surgery after horizontal eyelid tightening by a modified tarsal strip technique.A prospective study of 88 eyelids with ectropion and 96 with entropion was performed. Patients were randomly distributed into two groups: the control group included 90 eyelids (46 entropion and 44 ectropion) and the other group of 94 eyelids (50 (...) entropion and 44 ectropion). The control group was treated with a conventional tarsal strip, whereas the second group underwent the same surgery except for a modified suture placement of the tarsal strip different in patients with ectropion and entropion. The mean follow-up was 5.4 years. Horizontal eyelid laxity, orbicularis muscle and lower eyelid retractors function were measured prior and after surgery. Recurrence rate was also evaluated.Recurrent entropion occurred in eight eyelids (17.4 %) treated

2017 Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie

15. The Lateral Tarsal Strip for Paralytic Ectropion in Patients with Leprosy (PubMed)

The Lateral Tarsal Strip for Paralytic Ectropion in Patients with Leprosy In patients with leprosy, paralysis of the facial nerve results in the lower eyelid ectropion and lagophthalmos as a sequela even when the leprosy is cured. Paralytic ectropion causes many functional and cosmetic eye problems, leading to blindness if left untreated.The purpose of this retrospective study is to evaluate the efficacy of surgical correction of paralytic ectropion, the lateral tarsal strip, in patients (...) with leprosy.Between 2010 and 2015, 40 Korean patients (44 eyelids) with paralytic ectropion who had visited Korean Hansen Welfare Association Hospital were treated with the lateral tarsal strip. Four-point patients' global assessment scale, local complications, and recurrence were assessed at the end of follow-up period. The average follow-up period was 12 months.In the 44 eyelids, recurrence was observed in 5 cases (5/44, 11.4%). There were no serious postoperative complications except mild size discrepancy

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2017 Annals of dermatology

16. Congenital upper eyelids ectropion in Down’s syndrome (PubMed)

Congenital upper eyelids ectropion in Down’s syndrome Congenital bilateral ectropion of the upper eyelids is a rare, benign condition reported in ophthalmic literature. It is more frequently associated with Down's syndrome, ichthyosis, and sporadic cases in newborns from black population. We report three cases of congenital bilateral upper eyelid ectropion associated with Down's syndrome. Management of these patients usually requires medial and lateral canthoplasties, full-thickness (...) pentagonal resection of the upper eyelids and placement of skin grafts. We present herein the evolution of one of these patients and we will discuss the mechanism of the eyelid ectropion and its treatment.

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2017 GMS Ophthalmology Cases

17. Long term follow up of mucous membrane grafting for cicatricial ectropion in Ichthyosis: A case report (PubMed)

Long term follow up of mucous membrane grafting for cicatricial ectropion in Ichthyosis: A case report Ichthyosis is a group of keratinizing diseases characterized by scaly and dry skin. One of the ocular complications associated with ichthyosis is cicatricial ectropion which often results in exposure keratopathy and eventually corneal scarring.In this report we are presenting a 21-year-old female who is known to have ichthyosis-related bilateral lower lid cicatricial ectropion, which (...) was managed with Mucous Membrane Grafting (MMG) six years ago.Despite the serious complications of ichthyosis-related eyelid malposition such as cicatricial ectropion, until present no single way has been standardized to treat the ectropion in these patients. MMG has been previously described, but up to our knowledge this is the first reported long term follow up of MMG offered for ichthyosis-related cicatricial ectropion.We strongly recommend MMG as a promising surgical treatment option offered

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2017 International journal of surgery case reports

18. Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid (PubMed)

Subcuticular Suture Technique: Alternative to Frost Suture to Prevent Ectropion After Transcutaneous Incision of Lower Eyelid An ectropion is a complication that can arise from reconstruction in the infraorbital region. Often, this complication occurs despite proper positioning of the lower lid at the time of closure. Various transcutaneous approaches to orbit skeleton have investigated in view of complication arising from them. A subtarsal approach with a postoperative Frost suture gives (...) an advantage to reduce the occurrence of ectropion especially after treatment of orbital floor fractures.This case describes a method of subcuticular suturing technique for subtarsal incision of lower lid which can be used to support the lid during healing period, thus decreasing the rate of ectropion.The technique described here is an alterative method for frost suturing with certain advantages.

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2017 Journal of Maxillofacial & Oral Surgery

19. Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis (PubMed)

Cervical Ectropion May Be a Cause of Desquamative Inflammatory Vaginitis Desquamative inflammatory vaginitis is a poorly understood chronic vaginitis with an unknown etiology. Symptoms of desquamative inflammatory vaginitis include copious yellowish discharge, vulvovaginal discomfort, and dyspareunia. Cervical ectropion, the presence of glandular columnar cells on the ectocervix, has not been reported as a cause of desquamative inflammatory vaginitis. Although cervical ectropion can be a normal (...) clinical finding, it has been reported to cause leukorrhea, metrorrhagia, dyspareunia, and vulvovaginal irritation. Patients with cervical ectropion and desquamative inflammatory vaginitis are frequently misdiagnosed with candidiasis or bacterial vaginosis and repeatedly treated without resolution of symptoms. We report the case of a 34-year-old woman with a 4-year history of profuse yellowish discharge and dyspareunia. Upon presentation, her symptoms and laboratory results met the criteria

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2017 Sexual Medicine

20. Congenital Ectropion Uveae with Glaucoma: A Case Report (PubMed)

Congenital Ectropion Uveae with Glaucoma: A Case Report Congenital Ectropion Uveae (CEU) is a rare anomaly characterised by ectropion uveae, iris hypoplasia, iridotrabecular dysgenesis and glaucoma. Hyperplasia of the iris pigment epithelium and its apparent spread over the anterior surface of the iris is supposed to cause the classic ectropion uveae in CEU. Almost all patients develop open angle glaucoma due to angle dysgenesis, so they should be carefully examined periodically for its early

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2017 Journal of clinical and diagnostic research : JCDR

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