Wednesday, June 12, 2024

Ectropion

Background

Ectropion is an abnormal eversion (outward turning) of the lid margin away from the globe. Without normal lid globe apposition, corneal exposure, tearing, keratinization of the palpebral conjunctiva, and visual loss may result.

Ectropion usually involves the lower lid and often has a component of horizontal lid laxity.

Treatment is individualized based on the appropriate identification of the etiology.
See the images below.

Medial cicatricial ectropion in a patient with ext

Medial cicatricial ectropion in a patient with extensive basal cell carcinoma.

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Complete (tarsal) paralytic ectropion in a patient

Complete (tarsal) paralytic ectropion in a patient with an ipsilateral parotid tumor.

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