eMedicine Specialties > Plastic Surgery > Eyelids

Blepharoplasty, Lower Lid Ectropion Surgery: Multimedia

Author: Mounir Bashour, MD, CM, FRCS(C), PhD, FACS, Assistant Professor of Ophthalmology, McGill University; Clinical Assistant Professor of Ophthalmology, Sherbrooke University; Medical Director, Cornea Laser and Lasik MD
Contributor Information and Disclosures

Updated: Jul 7, 2009

Multimedia

Ectropion with keratinization of the lower lid.Media file 1: Ectropion with keratinization of the lower lid.
Ectropion with keratinization of the lower lid.

Ectropion with keratinization of the lower lid.

The snap-back test.Media file 2: The snap-back test.
The snap-back test.

The snap-back test.

Lower lid laxity obvious after snap-back test.Media file 3: Lower lid laxity obvious after snap-back test.
Lower lid laxity obvious after snap-back test.

Lower lid laxity obvious after snap-back test.

Preparing the lateral tarsal strip.Media file 4: Preparing the lateral tarsal strip.
Preparing the lateral tarsal strip.

Preparing the lateral tarsal strip.

The 4-0 Vicryl suture is paced through the tarsal...Media file 5: The 4-0 Vicryl suture is paced through the tarsal strip in a horizontal mattress fashion.
The 4-0 Vicryl suture is paced through the tarsal...

The 4-0 Vicryl suture is paced through the tarsal strip in a horizontal mattress fashion.

The suture is tied to the periosteum of the later...Media file 6: The suture is tied to the periosteum of the lateral orbital rim and tightened.
The suture is tied to the periosteum of the later...

The suture is tied to the periosteum of the lateral orbital rim and tightened.

More on Blepharoplasty, Lower Lid Ectropion Surgery

Overview: Blepharoplasty, Lower Lid Ectropion Surgery
Workup: Blepharoplasty, Lower Lid Ectropion Surgery
Treatment: Blepharoplasty, Lower Lid Ectropion Surgery
Follow-up: Blepharoplasty, Lower Lid Ectropion Surgery
Multimedia: Blepharoplasty, Lower Lid Ectropion Surgery
References

References

  1. Piskiniene R. Eyelid malposition: lower lid entropion and ectropion. Medicina (Kaunas). 2006;42(11):881-4. [Medline].

  2. Benger RS, Musch DC. A comparative study of eyelid parameters in involutional entropion. Ophthal Plast Reconstr Surg. 1989;5(4):281-7. [Medline].

  3. Carter SR, Chang J, Aguilar GL, Rathbun JE, Seiff SR. Involutional entropion and ectropion of the Asian lower eyelid. Ophthal Plast Reconstr Surg. Jan 2000;16(1):45-9. [Medline].

  4. 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].

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

  6. Corin S, Veloudios A, Harvey JT. A modification of the lateral tarsal strip procedure with resection of orbicularis muscle for entropion repair. Ophthalmic Surg. Oct 1991;22(10):606-8. [Medline].

  7. Chang L, Olver J. A useful augmented lateral tarsal strip tarsorrhaphy for paralytic ectropion. Ophthalmology. Jan 2006;113(1):84-91. [Medline].

  8. Xu JH, Tan WQ, Yao JM. Bipedicle orbicularis oculi flap in the reconstruction of the lower eyelid ectropion. Aesthetic Plast Surg. Mar-Apr 2007;31(2):161-6. [Medline].

  9. Cherubini TD. Entropion and ectropion of the eyelids. Clin Plast Surg. Oct 1978;5(4):583-91. [Medline].

  10. Fox SA. Surgery of senile ectropion and entropion. Ann Ophthalmol. Mar 1972;4(3):217-31. [Medline].

  11. Hartstein ME, Klimek DL. Eyelid Malposition: Update on Entropion and Ectropion. Comprehensive Ophthalmology Update. 2001;2:107-14.

  12. Harvey JT. Voluntary entropion. Can J Ophthalmol. Feb 1985;20(1):19-22. [Medline].

  13. Hayashi A, Maruyama Y, Okada E, Ogino A. Use of a suture anchor for correction of ectropion in facial paralysis. Plast Reconstr Surg. Jan 2005;115(1):234-9. [Medline].

  14. Sisler HA, Labay GR, Finlay JR. Senile ectropion and entropion: a comparative histopathological study. Ann Ophthalmol. Mar 1976;8(3):319-22. [Medline].

  15. Weber PJ, Popp JC, Wulc AE. Refinements of the tarsal strip procedure. Ophthalmic Surg. Nov 1991;22(11):687-91. [Medline].

  16. Weene LE. Bick procedure for correction of senile entropion and ectropion. Ophthalmic Surg. Apr 1977;8(2):40-1. [Medline].

  17. Wesley RE. Ectropion repair. Oculoplastic Surgery. 1995;249-61.

Further Reading

Keywords

involutional ectropion, lower lid laxity, blepharoplasty, lower lid ectropion surgery, lower lid ectropion, ectropion, epiphora, ocular irritation, eyelid laxity, punctal ectropion, medial ectropion, generalized ectropion, snap-back test, medial canthal laxity test, lateral canthal laxity test, cicatricial ectropion, lateral tarsorrhaphy, horizontal lid laxity, congenital ectropion, ichthyosis, lateral tarsal strip, LTS, tarsal ectropion, paralytic ectropion, augmented lateral tarsal strip, tarsorrhaphy

Contributor Information and Disclosures

Author

Mounir Bashour, MD, CM, FRCS(C), PhD, FACS, Assistant Professor of Ophthalmology, McGill University; Clinical Assistant Professor of Ophthalmology, Sherbrooke University; Medical Director, Cornea Laser and Lasik MD
Mounir Bashour, MD, CM, FRCS(C), PhD, FACS is a member of the following medical societies: American Academy of Ophthalmology, American Association for Pediatric Ophthalmology and Strabismus, American College of International Physicians, American College of Surgeons, American Medical Association, American Society of Cataract and Refractive Surgery, American Society of Mechanical Engineers, American Society of Ophthalmic Plastic and Reconstructive Surgery, Biomedical Engineering Society, Canadian Medical Association, Canadian Ophthalmological Society, Contact Lens Association of Ophthalmologists, International College of Surgeons US Section, Ontario Medical Association, Quebec Medical Association, and Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

Medical Editor

Neal R Reisman, MD, JD, Chief of Plastic Surgery, St Luke's Episcopal Hospital; Clinical Professor of Plastic Surgery, Baylor College of Medicine
Neal R Reisman, MD, JD is a member of the following medical societies: American Association of Plastic Surgeons, American College of Surgeons, American Society for Aesthetic Plastic Surgery, American Society of Plastic Surgeons, Lipoplasty Society of North America, Texas Medical Association, and Texas Society of Plastic Surgeons
Disclosure: Nothing to disclose.

Pharmacy Editor

Francisco Talavera, PharmD, PhD, Senior Pharmacy Editor, eMedicine
Disclosure: eMedicine Salary Employment

Managing Editor

Jorge I de la Torre, MD, FACS, Professor of Surgery and Physical Medicine and Rehabilitation, Residency Program Director, Division of Plastic Surgery, University of Alabama at Birmingham; Director, Center for Advanced Surgical Aesthetics
Jorge I de la Torre, MD, FACS is a member of the following medical societies: American Association of Plastic Surgeons, American Burn Association, American College of Surgeons, American Medical Association, American Society for Laser Medicine and Surgery, American Society for Reconstructive Microsurgery, American Society of Maxillofacial Surgeons, American Society of Plastic Surgeons, Association for Academic Surgery, and Medical Association of the State of Alabama
Disclosure: Nothing to disclose.

CME Editor

Nicolas (Nick) G Slenkovich, MD, Director, Colorado Plastic Surgery Center
Nicolas (Nick) G Slenkovich, MD is a member of the following medical societies: American Academy of Otolaryngology-Head and Neck Surgery, American College of Surgeons, American Medical Association, American Society of Aesthetic Plastic Surgery, American Society of Plastic Surgeons, and Colorado Medical Society
Disclosure: Nothing to disclose.

Chief Editor

Lars M Vistnes, MD, FRCSC, FACS, Professor of Surgery, Emeritus, Stanford University Medical Center
Lars M Vistnes, MD, FRCSC, FACS is a member of the following medical societies: Royal College of Physicians and Surgeons of Canada
Disclosure: Nothing to disclose.

 
 
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