Ectropion

Ectropion is an alteration in the eyelid position in which it is everted and away from the eyeball, so that the inner surface is exposed (conjunctiva). In most patients ectropion occurs in the lower eyelid.

SYMPTOMS
Painful dry eye, tearing, redness of the eyelid, conjunctivitis.

CAUSES
It occurs in elderly patients, by a weakness of the orbicularis muscle myoneural plate.
We also see very often in eyelid surgery.
Other causes include facial paralysis, sequelae of burn, etc.

COMPLICATIONS
If the ectropion is not resolved in time, corneal ulcers and eye infections can result which can affect vision.

PREVENTION
Perform cosmetic surgeries which do not cause damage to the orbicularis muscle.

TREATMENT
The operation consists in shortening the eyelid BELOW through a small incision in the side edge.
This allows to recover eyelid position and tension.
This improves tearing long as the lachrymal be permeable.
Ophthalmic assessment by a specialist tear ducts is recommended to determine the status of it before surgery. In some cases intubation of the lacrimal duct with silicon stents may be necessary.

These procedures are performed under local anesthesia and sedation so the patient can be removed in the same day at his home. The procedure takes about 30 minutes. Points usually take between 10 and 14 days post-surgery. The first 48 to 72 hours is usually swelling and bruising on the periocular region improved by local cold and rest.

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