Presentation
The patient presented good functional and aesthetic results, with no complications. Keywords: BLEPHAROPLASTY; ENTROPION; RECONSTRUCTION. [surgicalcosmetic.org.br]
Rarely is ectropion present at birth (congenital). When it is, it's usually associated with genetic disorders, such as Down syndrome. Risk factors Factors that increase your risk of developing ectropion include: Age. [mayoclinic.org]
Keratinization of the palpebral conjunctiva is present. Image courtesy of Marcus M. Marcet, MD FACS. Attribution-ShareAlike 3.0 Unported (CC BY-SA 3.0) Ectropion is an outward turning of the eyelid margin. [eyewiki.aao.org]
Entire Body System
- Surgical Procedure
Retractors Reinsertion for Involutional Entropion Surgical Technique Oculoplastic. Procedures for the General Ophthalmologist OPCO AAO. Lateral Tarsal Strip Surgical Procedure for the repair of involutional entropion and ectropion. [martindevoto.com]
• A new surgical procedure has been developed for the correction of senile entropion of the lower lid. [jamanetwork.com]
- Inflammation
After excision of the conjunctiva and the tarsus, enlarged by granulomatous inflammation, the free posterior border of the lower eyelid is nicely applied against the eyeball and the lower eyelid recovers its elasticity and practically normal tonus. [thieme-connect.de]
Patients suffering from inflammatory skin conditions involving the eyelid may have improvement or reversal of ectropion with improved control of inflammation. [eyewiki.aao.org]
- Weakness
Causes Ectropion can be caused by: Muscle weakness. As you age, the muscles under your eyes tend to weaken, and tendons stretch out. These muscles and tendons hold your eyelid taut against your eye. When they weaken, your eyelid can begin to droop. [mayoclinic.org]
In paralytic ectropion, orbicularis muscle tone is weak or absent due to facial nerve palsy. In cicatricial ectropion, the anterior or middle lamellae are shortened due to scarring. [eyewiki.aao.org]
- Pain
" — Walter — "In a time of fear, chaos, and pain you have provided us with some much needed comfort and reassurance. [klapperplasticsurgery.com]
Musculoskeletal
- Muscle Weakness
Causes Ectropion can be caused by: Muscle weakness. As you age, the muscles under your eyes tend to weaken, and tendons stretch out. These muscles and tendons hold your eyelid taut against your eye. When they weaken, your eyelid can begin to droop. [mayoclinic.org]
Treatment
[Surgical treatment of entropium senile (author's transl)]. Busse H, Promesberger H, Hartmann K. Busse H, et al. Klin Monbl Augenheilkd. 1978;172(6):863-6. Klin Monbl Augenheilkd. 1978. PMID: 357832 German. Repair of entropion and ectropion. [pubmed.ncbi.nlm.nih.gov]
Pathogenesis and treatment. Arch Ophthalmo. 1978;96(10):1883-5. 5. Park SS, Little S. Reconstrução das pálpebras. In: Baker SR. Retalhos locais em reconstrução facial. 2.ed: Elsevier, 2009. p. 390-3. [surgicalcosmetic.org.br]
Etiology
Abstract A study of 20 patients with bilateral ectropion was undertaken to determine the exact anatomical etiology of the horizontal eyelid laxity which leads to "senile" (involutional) ectropion. [pubmed.ncbi.nlm.nih.gov]
The lower eyelids are most affected, usually with complete involvement of the eyelid margin.3 Surgery is the only effective and definitive treatment.2 Thorough knowledge of eyelid anatomy is essential to determine the etiology and carry out the surgical [surgicalcosmetic.org.br]
Ì== Etiology == There are four main types of ectropion: involutional, cicatricial, mechanical, and paralytic. Involutional ectropion is caused by increased horizontal laxity of the lower eyelid and disinsertion of the lower eyelid retractors. [eyewiki.aao.org]
Pathophysiology
Floppy eyelid syndrome Long term use of eye drops Skin conditions which involve the eyelid Trauma Prior Eyelid Surgery General Pathology Ectropion can be classified as: Involutional (most common) Paralytic Cicatricial Mechanical Congenital (very rare) Pathophysiology [eyewiki.aao.org]