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ECTROPION & ENTROPION
KABILAN. S
OBJECTIVES
• Entropion and its types
• Treatment for entropion
• Ectropion and its types
• Treatment for ectropion
ANATOMY
Lid retractors
ENTROPION
Inward rolling and rotation of lid margin toward the globe
Types
• Congenital (Horizontal tarsal kink syndrome)
- lower lid
- upper lid
• Cicatricial
- commonly in upper lid
- trach...
• Senile (Involutional entropion)
- horizontal lid laxity
- vertical lid instability
- overriding of pretarsal by presepta...
Clinical features
PRESENTATION :
• Foreign body sensation
• Irritation
• Lacrimation
• photophobia
Signs
• Inturning of lid margins
- grade 1
- grade 2
- grade 3
• Signs of causative factors
• Signs of complications
- cor...
TREATMENT
• Congenital entropion
- Hotz procedure
CICATRICIAL ENTROPION
• Anterior lamellar resection
• Tarsal wedge resection
(Snellen’s operation)
• Transposition of tars...
SENILE ENTROPION
• Transverse everting sutures
• Wies operation
• Jones operation
• Quickert procedure
ECTROPION
Outrolling or outward turning of the lid margin
TYPES
• Congenital
- Down’s syndrome
• Involutional
- horizontal laxity
- disinsertion of lower lid retractors
- medial/la...
• Mechanical
- tumor, proptosis
• Cicatricial
- burns, lacerations, ulcers
CLINICAL FEATURES
PRESENTATION
• Irritaion
• Discomfort
• Photophobia
• Epiphora
Signs
• Outrolled lid margin
- grade 1
- grade 2
- grade 3
• Signs of causative factors
- scars
- 7th nerve palsy
INVOLUTIONAL ECTROPION
• Positive snap test
• Medial canthal tendon laxity
• Lateral canthal tendon laxity
Complications
• Exposure keratitis
• Dryness and thickening of conjunctiva
• Eczema and dermatitis of lower lid
TREATMENT
• Congenital ectropion
- full thickness skin graft
• Involutional ectropion
- medial conjunctivoplasty
- horizon...
• Paralytic ectropion
- temporary methods (topical lubricant, taping eyelids, temporal
tarsorrhaphy)
- Permanent methods :...
• Cicatricial ectropion
- V-Y plasty, Z plasty
- excision of scar tissue and full thickness skin graft
SUMMARY
• ENTROPION – TYPES – SURGERY
• ECTROPION – TYPES – SURGERY
THANKOOOO
Ectropion and Entropion (Ophthalmology) - Etiology, Management
Ectropion and Entropion (Ophthalmology) - Etiology, Management
Ectropion and Entropion (Ophthalmology) - Etiology, Management
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Ectropion and Entropion (Ophthalmology) - Etiology, Management

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This presentation deals with ectropion and entropion, their causes, types and management

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Ectropion and Entropion (Ophthalmology) - Etiology, Management

  1. 1. ECTROPION & ENTROPION KABILAN. S
  2. 2. OBJECTIVES • Entropion and its types • Treatment for entropion • Ectropion and its types • Treatment for ectropion
  3. 3. ANATOMY
  4. 4. Lid retractors
  5. 5. ENTROPION Inward rolling and rotation of lid margin toward the globe
  6. 6. Types • Congenital (Horizontal tarsal kink syndrome) - lower lid - upper lid • Cicatricial - commonly in upper lid - trachoma, trauma, chemical injuries
  7. 7. • Senile (Involutional entropion) - horizontal lid laxity - vertical lid instability - overriding of pretarsal by preseptal orbicularis - orbital septum laxity – prolapse of orbital fat into lower lid • Mechanical - lack of support provided by globe to lids - phthisis bulbi
  8. 8. Clinical features PRESENTATION : • Foreign body sensation • Irritation • Lacrimation • photophobia
  9. 9. Signs • Inturning of lid margins - grade 1 - grade 2 - grade 3 • Signs of causative factors • Signs of complications - corneal abrasions, opacities, ulcers
  10. 10. TREATMENT • Congenital entropion - Hotz procedure
  11. 11. CICATRICIAL ENTROPION • Anterior lamellar resection • Tarsal wedge resection (Snellen’s operation) • Transposition of tarsoconjunctival wedge (Modified Ketssey’s operation) • Composite grafts
  12. 12. SENILE ENTROPION • Transverse everting sutures • Wies operation • Jones operation • Quickert procedure
  13. 13. ECTROPION Outrolling or outward turning of the lid margin
  14. 14. TYPES • Congenital - Down’s syndrome • Involutional - horizontal laxity - disinsertion of lower lid retractors - medial/lateral canthal tendon laxity • Paralytic - paralysis of facial nerve - Bell’s palsy, middle ear infections, parotidectomy
  15. 15. • Mechanical - tumor, proptosis • Cicatricial - burns, lacerations, ulcers
  16. 16. CLINICAL FEATURES PRESENTATION • Irritaion • Discomfort • Photophobia • Epiphora
  17. 17. Signs • Outrolled lid margin - grade 1 - grade 2 - grade 3 • Signs of causative factors - scars - 7th nerve palsy
  18. 18. INVOLUTIONAL ECTROPION • Positive snap test • Medial canthal tendon laxity • Lateral canthal tendon laxity
  19. 19. Complications • Exposure keratitis • Dryness and thickening of conjunctiva • Eczema and dermatitis of lower lid
  20. 20. TREATMENT • Congenital ectropion - full thickness skin graft • Involutional ectropion - medial conjunctivoplasty - horizontal lid shortening - Bryon smith’s modified kuhnt Szymanowsky operation
  21. 21. • Paralytic ectropion - temporary methods (topical lubricant, taping eyelids, temporal tarsorrhaphy) - Permanent methods : - medial canthoplasty - gold weight implantation - palpebral sling operation
  22. 22. • Cicatricial ectropion - V-Y plasty, Z plasty - excision of scar tissue and full thickness skin graft
  23. 23. SUMMARY • ENTROPION – TYPES – SURGERY • ECTROPION – TYPES – SURGERY
  24. 24. THANKOOOO
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This presentation deals with ectropion and entropion, their causes, types and management

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