Ectropion: Differential Diagnoses & Workup

References

1. Gupta B, Parmar B, Raina J, Chawla JS. Acute idiopathic bilateral lower lid ectropion. Indian J Ophthalmol. Sep 2006;54(3):212-4. [Medline].

2. Fezza JP. Nonsurgical treatment of cicatricial ectropion with hyaluronic acid filler. Plast Reconstr Surg. Mar 2008;121(3):1009-14. [Medline].

3. Schrom T, Habermann A. Temporary ectropion therapy by adhesive taping: a case study. Head Face Med. Jul 21 2008;4:12. [Medline].

4. Anderson RL, Gordy DD. The tarsal strip procedure. Arch Ophthalmol. Nov 1979;97(11):2192-6. [Medline].

5. Bashour M, Harvey J. Causes of involutional ectropion and entropion--age-related tarsal changes are the key. Ophthal Plast Reconstr Surg. Mar 2000;16(2):131-41. [Medline].

6. Ben Simon GJ, Molina M, Schwarcz RM, McCann JD, Goldberg RA. External (subciliary) vs internal (transconjunctival) involutional entropion repair. Am J Ophthalmol. Mar 2005;139(3):482-7. [Medline].

7. Bergeron CM, Moe KS. The evaluation and treatment of lower eyelid paralysis. Facial Plast Surg. May 2008;24(2):231-41. [Medline].

8. Caviggioli F, Klinger F, Villani F, Fossati C, Vinci V, Klinger M. Correction of cicatricial ectropion by autologous fat graft. Aesthetic Plast Surg. May 2008;32(3):555-7. [Medline].

9. Chang L, Olver J. A useful augmented lateral tarsal strip tarsorraphy for paralytic ectropion. Ophthalmology. 2006;113:84-91.

10. Cook BE Jr, Bartley GB, Pittelkow MR. Ophthalmic abnormalities in patients with cutaneous T-cell lymphoma. Ophthalmology. Jul 1999;106(7):1339-44. [Medline].

11. Frankfort BJ, Garibaldi DC. Periocular cutaneous toxicity and cicatricial ectropion: a potential class effect of antineoplastic agents that inhibit EGFR signaling. Ophthal Plast Reconstr Surg. Nov-Dec 2007;23(6):496-7. [Medline].

12. Hedge V, Robinson R, Dean F, Mulvihill HA, Ahluwalia H. Drug-induced ectropion: what is best practice?. Ophthalmology. 2007;114:362-6.

13. Hintschich C. Correction of entropion and ectropion. Dev Ophthalmol. 2008;41:85-102. [Medline].

14. Isawumi MA, Adeoti CO, Umar IO, Oluwatimilehin IO, Raji RA. Congenital bilateral eversion of the eyelids. J Pediatr Ophthalmol Strabismus. Nov-Dec 2008;45(6):371-3. [Medline].

15. Jordan DR, Anderson RL. The lateral tarsal strip revisited. The enhanced tarsal strip. Arch Ophthalmol. Apr 1989;107(4):604-6. [Medline].

16. Jordan DR, Bawazeer AM, Pelletier CR. Severe congenital ectropion secondary to lamellar ichthyosis. Can J Ophthalmol. Feb 1998;33(1):30-1. [Medline].

17. Koh S, Hosohata J, Tano Y. Bilateral upper eyelid ectropion associated with blepharospasm. Br J Ophthalmol. Nov 2006;90(11):1437-8. [Medline].

18. Manku K, Leong JK, Ghabrial R. Cicatricial ectropion: repair with myocutaneous flaps and canthopexy. Clin Experiment Ophthalmol. Sep-Oct 2006;34(7):677-81. [Medline].

19. Monaco G, Franceschin S, Cacioppo V, Simonetta S, Ratiglia R. Congenital iris ectropion associated with juvenile glaucoma. J Pediatr Ophthalmol Strabismus. Jan-Feb 2009;46(1):35-7. [Medline].

20. Nowinski TS, Anderson RL. The medial spindle procedure for involutional medial ectropion. Arch Ophthalmol. Nov 1985;103(11):1750-3. [Medline].

21. Smith B. The "lazy-T" correction of ectropion of the lower punctum. Arch Ophthalmol. Jul 1976;94(7):1149-50. [Medline].

22. Tse DT, Kronish JW, Buus D. Surgical correction of lower-eyelid tarsal ectropion by reinsertion of the retractors. Arch Ophthalmol. Mar 1991;109(3):427-31. [Medline].

23. Uthoff D, Gorney M, Teichmann C. Cicatricial ectropion in ichthyosis: a novel approach to treatment. Ophthal Plast Reconstr Surg. Jun 1994;10(2):92-5. [Medline].

Further Reading

Related eMedicine topics

Lower Eyelid Reconstruction, Ectropion
Blepharoplasty, Lower Lid Ectropion Surgery
Blepharoplasty, Lower Eyelid Laxity
Floppy Eyelid Syndrome
Eyelid Anatomy

Clinical studies

Minimally Invasive Holmium:YAG Laser Blepharoplasty
Local Moxifloxacin and Povidone Iodine Versus Povidone Iodine Alone as a Prophylaxis Before Eye Operations

Keywords

ectropion, eversion, lid, lower lid, eyelid, corneal exposure, conjunctival exposure, tearing, lid deformity, irritated eyes, red eyes, lid laxity, punctal, medial, lateral, tarsal, cicatricial ectropion, punctal phimosis, paralytic ectropion, nocturnal lagophthalmos, Bell palsy

Contributor Information and Disclosures

Author

Edsel Ing, MD, FRCSC, Assistant Professor, Department of Ophthalmology & Vision Sciences, University of Toronto: Consulting Staff, Toronto East General Hospital
Edsel Ing, MD, FRCSC is a member of the following medical societies: American Academy of Ophthalmology, American College of Physician Executives, American Society of Contemporary Ophthalmology, Canadian Ophthalmological Society, Contact Lens Association of Ophthalmologists, North American Neuro-Ophthalmology Society, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Medical Editor

Ron W Pelton, MD, PhD, Private Practice, Colorado Springs, Colorado
Ron W Pelton, MD, PhD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, American Society of Ophthalmic Plastic and Reconstructive Surgery, Colorado Medical Society, Utah Medical Association, and Wilderness Medical Society
Disclosure: Nothing to disclose.

Pharmacy Editor

Simon K Law, MD, PharmD, Assistant Professor of Ophthalmology, Jules Stein Eye Institute; Chief of Section of Ophthalmology Surgical Services, Department of Veterans Affairs Healthcare Center, West Los Angeles
Simon K Law, MD, PharmD is a member of the following medical societies: American Academy of Ophthalmology, American Glaucoma Society, and Association for Research in Vision and Ophthalmology
Disclosure: Nothing to disclose.

Managing Editor

Mark T Duffy, MD, PhD, Consulting Staff, Division of Oculoplastic, Orbito-facial, Lacrimal and Reconstructive Surgery, Green Bay Eye Clinic, BayCare Clinic; Medical Director, Advanced Cosmetic Solutions, A BayCare Clinic
Mark T Duffy, MD, PhD is a member of the following medical societies: American Academy of Ophthalmology, American Medical Association, American Society of Ophthalmic Plastic and Reconstructive Surgery, Sigma Xi, and Society for Neuroscience
Disclosure: Allergan - Botox Cosmetic Consulting fee Consulting; Quest medical - lacrimal balloons Honoraria Speaking and teaching; Ortho-Neutrogenia Consulting fee Consulting

CME Editor

Lance L Brown, OD, MD, Ophthalmologist, Affiliated With Freeman Hospital and St John's Hospital, Regional Eye Center, Joplin, Missouri
Disclosure: Nothing to disclose.

Chief Editor

Hampton Roy Sr, MD, Associate Clinical Professor, Department of Ophthalmology, University of Arkansas for Medical Sciences
Hampton Roy Sr, MD is a member of the following medical societies: American Academy of Ophthalmology, American College of Surgeons, and Pan-American Association of Ophthalmology
Disclosure: Nothing to disclose.