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Ectropion Follow-up

  • Author: Edsel Ing, MD, FRCSC; Chief Editor: Hampton Roy, Sr, MD  more...
 
Updated: Apr 15, 2016
 

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.

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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.

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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, Hospital for Sick Children and Sunnybrook Hospital

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, Royal College of Physicians and Surgeons of Canada, Canadian Ophthalmological Society, North American Neuro-Ophthalmology Society, Canadian Society of Oculoplastic Surgery, European Society of Ophthalmic Plastic and Reconstructive Surgery, Canadian Medical Association, Ontario Medical Association, Statistical Society of Canada, Chinese Canadian Medical Society

Disclosure: Nothing to disclose.

Specialty Editor Board

Simon K Law, MD, PharmD Clinical Professor of Health Sciences, Department 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, Association for Research in Vision and Ophthalmology, American Glaucoma Society

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, Pan-American Association of Ophthalmology

Disclosure: Nothing to disclose.

Additional Contributors

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

Disclosure: Nothing to disclose.

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Medial cicatricial ectropion in a patient with extensive basal cell carcinoma.
Complete (tarsal) paralytic ectropion in a patient with an ipsilateral parotid tumor.
 
 
 
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