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ECTROPION

Eyelid ectropion is a condition where the eyelid margin turns outward, primarily affecting the lower eyelid, and can lead to symptoms such as photophobia and corneal exposure. It is classified into congenital and acquired types, with acquired types including involutional, cicatricial, paralytic, and mechanical ectropion. Various surgical interventions exist to correct ectropion, but complications such as undercorrection and corneal abrasion may occur.

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19 views20 pages

ECTROPION

Eyelid ectropion is a condition where the eyelid margin turns outward, primarily affecting the lower eyelid, and can lead to symptoms such as photophobia and corneal exposure. It is classified into congenital and acquired types, with acquired types including involutional, cicatricial, paralytic, and mechanical ectropion. Various surgical interventions exist to correct ectropion, but complications such as undercorrection and corneal abrasion may occur.

Uploaded by

Nilu Bhoi
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PPTX, PDF, TXT or read online on Scribd
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ECTROPION

Dr.Vimal Panchani
M.D,Ph.D.
Professor, Shalakya Dept,GJAC
INTRODUCTION
• Eyelid ectropion is an eyelid malposition in
which the eyelid margin is turned out from
its normal apposition to the globe.
• This is more frequently affects the lower
eyelid.
• Upper eyelid ectropion is uncommon
Features of Ectropion
• photophobia
• Epiphora
• Keratinisation of conj epithelium
• Corneal exposure-
• FB sensation,
• corneal dryness,
• corneal ulceration
classification
Congenital
Aquired

•1. Involutional ectropion


•2. Cicatricial ectropion
•3. Paralytic ectropion
•4.Mechanical ectropion
A patient with a bilateral complete tarsal ectropion with
keratinization of the chronically exposed conjunctiva
Patho-physiology
1.Senile or involutional
which is caused by a horizontal lid laxity

•lengthening of medial and lateral canthal tendons with


ageing changes,
•it is the most common type of ectropion and
has a continuous pathological process that is aggravated

by conjunctivitis and epiphora.


2.When the anterior lamella is shortened either
postoperatively, trauma (burns or injuries), or
ulceration, the resultant cicatricial ectropion will take

place.

3. Supporting of the lower eyelid in its normal position


depending on the orbicularis oculi muscle tone and
loss of this support will lead to paralytic ectropion
as in case of facial nerve palsy
• 4. Mechanical ectropion is caused by
eversion of the lower lid by a tumor or a
mass.
• 5. Congenital ectropion is a rare
condition due to shortage of skin as in
congenital ichthyosis or blepharophimosis.
N in downs syndrome.
• a. Eyelid snap test: Pull the eyelid inferiorly.
• If the eyelid springs to its normal position without a blink it
means no lid laxity. If it remains away from the eye for a time; it '
means a lax lid. Then the degree of lid laxity will be determined by
the Number of blink required to bring the lid on contact to the eye.

• b. Lateral distraction test: By pulling the eyelid laterally from


the eye, the punctum can be drawn lateral to medial limbus, suggest
medial canthal tendon laxity
Different surgeries
• Conjunctival cautery
• Medial spindle resection
• Spindle with wedge resection
• Medial canthal tendon plication
• Lateral wedge resection
• Medial canthal resection
• Lateral tarsal strip procedure
• Z plasty
• V-y plasty
• Skin graft
• Retractors reinsertion to tarsal plate
Complication
• Undercorrection
• Recurrence
• Overcorrection
• Lateral canthal angle dystopia
• Trichiasis
• Canalicular injury
• Corneal abrasion
• Eyelid notching
THANK U

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