Plastics Coach 002 was originally published on September 22nd, 2020.
This 82-year-old man presents for assessment of his lower eyelids, which are turned outward. Why?
Analysis
Here, we see an involutional and cicatricial lower eyelid ectropion that is more severe in the right eye. There are five types of lower eyelid ectropion:
- involutional
- cicatricial
- paralytic
- mechanical
- congenital
Treatment considerations include degree and location of the ectropion, laxity of the medial and lateral canthal tendons, laxity of the eyelid, tone of the orbicularis muscle, presence of cicatricial or mechanical causes, as well as age and general health of the patient.
In the accompanying 10 min. video featuring Dr. Ahsen Hussain, assistant professor at Dalhousie University in Nova Scotia, we will review:
- How to identify a lower eyelid ectropion
- Etiologies for lower eyelid ectropion
- Treatment options for lower eyelid ectropion
Plastics Coach Tip
Involutional ectropion is the most common etiology; however, cicatricial ectropion is often overlooked and requires unique treatment considerations.
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