eMedicine Specialties > Ophthalmology > Lid

Ectropion: Follow-up

Author: Edsel Ing, MD, FRCSC, Assistant Professor, Department of Ophthalmology & Vision Sciences, University of Toronto: Consulting Staff, Toronto East General Hospital
Contributor Information and Disclosures

Updated: Dec 27, 2006

Follow-up

Further Outpatient Care

  • Postoperative care
    • For the lid sutures, an antibiotic steroid combination, used 3 times daily, such as Maxitrol (neomycin, polymyxin, bacitracin), is preferred.
    • 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 are usually examined on the first postoperative day, then 5-7 days later for suture removal.

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.
 


More on Ectropion

Overview: Ectropion
Differential Diagnoses & Workup: Ectropion
Treatment & Medication: Ectropion
Follow-up: Ectropion
Multimedia: Ectropion
References
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References

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

  2. 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].

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

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

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

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

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

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

  9. 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].

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

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

  12. 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].

  13. 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].

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Further Reading

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Keywords

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

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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
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

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.

 
 
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