Ectropion Follow-up

  • Author: Edsel Ing, MD, FRCSC; Chief Editor: Hampton Roy Sr, MD   more...
 
Updated: Oct 24, 2011
 

Further Outpatient Care

  • Postoperative care
    • For the lid sutures, an antibiotic ointment (eg, polysporin, tobramycin) can be used.
    • Applying cold compresses to the eyelids every 15 minutes (as tolerated) while awake will decrease bruising and swelling. Frozen peas in a plastic bag are a useful alternative to traditional cloth compresses.
    • Generally, physicians do not prescribe narcotics postoperatively. The patient is asked to use acetaminophen (325-650 mg PO q4h prn) to manage pain. Patients are asked to avoid aspirin-containing products.
    • Patients can be examined on the first postoperative day, then 5-7 days later for suture removal.
Next

Complications

  • Complications are primarily related to corneal and conjunctival exposure. As listed above, these complications can involve conjunctival keratinization, corneal breakdown, epiphora, and pain.
  • Surgical complications may include bleeding, hematoma, infection, wound dehiscence, pain, and poor positioning of the tarsal strip.
Previous
 
Contributor Information and Disclosures
Author

Edsel Ing, MD, FRCSC  Associate Professor, Department of Ophthalmology and Vision Sciences, University of Toronto Faculty of Medicine; Consulting Staff, Toronto East General Hospital, Canada

Edsel Ing, MD, FRCSC is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American Society of Ophthalmic Plastic and Reconstructive Surgery, Canadian Ophthalmological Society, North American Neuro-Ophthalmology Society, and Royal College of Physicians and Surgeons of Canada

Disclosure: Nothing to disclose.

Specialty Editor Board

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 College of Surgeons, American Society of Ophthalmic Plastic and Reconstructive Surgery, AO Foundation, and Colorado Medical Society

Disclosure: Nothing to disclose.

Simon K Law, MD, PharmD  Associate Professor of Ophthalmology, Jules Stein Eye Institute, University of California, Los Angeles, David Geffen School of Medicine

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.

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 Honoraria Speaking and teaching

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.

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. Damasceno RW, Osaki MH, Dantas PE, Belfort R Jr. Involutional entropion and ectropion of the lower eyelid: prevalence and associated risk factors in the elderly population. Ophthal Plast Reconstr Surg. Sep-Oct 2011;27(5):317-20. [Medline].

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

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

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

  6. 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].

  7. 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].

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

  9. 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].

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

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

  12. 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].

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

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

  15. 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].

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

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

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

  19. 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].

  20. 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].

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

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

  23. 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].

  24. 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].

 
Previous
Next
 
Medial cicatricial ectropion in a patient with extensive basal cell carcinoma.
Complete (tarsal) paralytic ectropion in a patient with an ipsilateral parotid tumor.
 
 
 
All material on this website is protected by copyright, Copyright © 1994-2012 by WebMD LLC.
This website also contains material copyrighted by 3rd parties.

DISCLAIMER: The content of this Website is not influenced by sponsors. The site is designed primarily for use by qualified physicians and other medical professionals. The information contained herein should NOT be used as a substitute for the advice of an appropriately qualified and licensed physician or other health care provider. The information provided here is for educational and informational purposes only. In no way should it be considered as offering medical advice. Please check with a physician if you suspect you are ill.