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Entropion Follow-up

  • Author: Christopher DeBacker, MD; Chief Editor: Hampton Roy, Sr, MD  more...
 
Updated: Aug 11, 2015
 

Complications

Any surgical procedure can have immediate or delayed complications.

Immediate complications include hemorrhage, infection, wound dehiscence, graft failure (donor and recipient sites), corneal injury, and recurrence of the entropion, as well as consecutive ectropion.

Hemorrhage is treated with cauterization of the bleeding points, and infection is managed with antibiotics directed at culture-specific organisms.

Wound dehiscence may require immediate surgical repair if extensive or conservative management if mild.

Maintain grafts by stenting the grafted site for the purpose of graft immobilization.

Graft failure may require debridement with delayed re-operation.

Donor site complications, particularly bleeding, are managed with appropriate packing material.

Consecutive ectropion may occur and may respond to conservative observation during the healing period with late secondary repair.

 
Contributor Information and Disclosures
Author

Christopher DeBacker, MD Clinical Assistant Professor of Ophthalmology, University of Texas Health Science Center at San Antonio; Clinical Assistant Professor of Ophthalmology, University of California, San Francisco Medical Center, Veterans Affairs Medical Center

Christopher DeBacker, MD is a member of the following medical societies: American Academy of Cosmetic Surgery, American College of Surgeons, American Academy of Ophthalmology, American Society of Ophthalmic Plastic and Reconstructive Surgery

Disclosure: Nothing to disclose.

Coauthor(s)

Robert M Dryden, MD, FACS Clinical Professor, Department of Ophthalmology, University of Arizona School of Medicine

Robert M Dryden, MD, FACS is a member of the following medical societies: Alpha Omega Alpha, American Academy of Cosmetic Surgery, American Academy of Facial Plastic and Reconstructive Surgery, American Academy of Ophthalmology, American College of Surgeons, American Society of Ophthalmic Plastic and Reconstructive Surgery, Phi Beta Kappa

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.

References
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  13. DeBacker CM. Entropion and Ectropion Repair. Medscape Reference. September 23, 2011. [Full Text].

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  15. Ho SF, Pherwani A, Elsherbiny SM, Reuser T. Lateral tarsal strip and quickert sutures for lower eyelid entropion. Ophthal Plast Reconstr Surg. 2005 Sep. 21(5):345-8. [Medline].

  16. Khan SJ, Meyer DR. Transconjunctival lower eyelid involutional entropion repair: long-term follow-up and efficacy. Ophthalmology. 2002 Nov. 109(11):2112-7. [Medline].

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  18. Quickert MH, Rathbun E. Suture repair of entropion. Arch Ophthalmol. 1971 Mar. 85(3):304-5. [Medline].

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Involutional entropion. Note overriding orbicularis oculi muscle, eyelid margin entropion, and relative enophthalmos with deep superior sulcus.
Involutional entropion. Correction of entropion with eyelid retractor reattachment and lateral canthopexy.
Cicatricial entropion of upper eyelid. Note eyelid margin inversion.
Cicatricial entropion of the upper eyelid with eyelid everted. Note scar tissue involving tarsal conjunctiva.
Left lower eyelid cicatricial entropion with lower eyelid retraction.
Left lower eyelid posterior lamellar cicatrix
Repair of left lower eyelid cicatricial entropion and retraction with cicatrix release and hard-palate mucosal graft.
 
 
 
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