Frontal osteomyelitis presenting as upper eyelid ectropion: A cautionary tale. [scielo.br]

Due to the psoriasis, she presented a very dry skin, also in the periocular region, resulting in cicatricial ectropion. A skin graft was indicated to correct the eyelid malposition. [hindawi.com]

Ectropion repair presents a challenge to the surgeon. The surgical management of cicatricial ectropion depends on the situation after the release of the scar traction in the lower lid area. [ncbi.nlm.nih.gov]

Clinical features The patients usually present with symptoms of epiphora, redness, tearing, and foreign body. Sensation occurring secondary to exposure to the ocular surface and an inadequate tear film. [eyewiki.org]

• Asymptomatic

  After six months of follow-up, there was no recurrence of the ectropion and she remained asymptomatic and required no ophthalmic medication (Figure 1(d)). There was no recurrence of the ectropion during one year of follow-up. 3. [hindawi.com]

• Foreign Body Sensation

  Ectropion can lead to chronic conjunctivitis, keratitis, corneal ulceration, and lagophthalmos, with symptoms of tearing, photophobia, pain, and foreign body sensation [3]. [hindawi.com]

  Clinical features The patients usually present with symptoms of epiphora, redness, tearing, and foreign body. Sensation occurring secondary to exposure to the ocular surface and an inadequate tear film. [eyewiki.org]

  In one study, cicatricial ectropion presented as periorbital discomfort, foreign-body sensation, and epiphora one week after treatment began, followed by severe eyelid crusting, intermittent bleeding, and eyelash loss(6363 Garibaldi DC, Adler RA. [scielo.br]

• Lagophthalmos

  Grade IV- Fornix is visible Besides this, one should measure, the horizontal and vertical height of palpebral fissure, lagophthalmos, and amount of lid retraction. [eyewiki.org]

  Ectropion can lead to chronic conjunctivitis, keratitis, corneal ulceration, and lagophthalmos, with symptoms of tearing, photophobia, pain, and foreign body sensation [3]. [hindawi.com]

  Bilateral severe cicatricial ectropion, lagophthalmos, and corneal exposure occur in patients with a variety of extensive skin diseases. [scielo.br]

• Lower Lid Ectropion

  Management of lower lid ectropion. Dermatol Surg. 2006;32:1050–6; discussion 1056-7. [PubMed] [Google Scholar] 6. Miletić D, Elabjer BK, Bosnar D, Busić M. Our approach to operative treatment of lower lid ectropion. Acta Clin Croat. 2010;49:283–7. [ncbi.nlm.nih.gov]

• Photophobia

  Ectropion can lead to chronic conjunctivitis, keratitis, corneal ulceration, and lagophthalmos, with symptoms of tearing, photophobia, pain, and foreign body sensation [3]. [hindawi.com]

• Skin Disease

  Another skin disease reported to be correlated with eyelid involvement is paracoccidioidomycosis [4]. [hindawi.com]

  Cicatricial ectropion in progressive skin diseases. Orbit. 2001;20(2):91-9. 42 Schaefer EJ, Kay LL, Zech LA, Brewer HB Jr. Tangier disease. [scielo.br]

  diseases, and excessive skin removal during lower lid blepharoplasty. [eyewiki.org]

• Ulcer

  Ectropion can lead to chronic conjunctivitis, keratitis, corneal ulceration, and lagophthalmos, with symptoms of tearing, photophobia, pain, and foreign body sensation [3]. [hindawi.com]

  It is rare and often associated with systemic inflammatory diseases, which manifests through painful ulcerative skin lesions with rapid progression and is characterized by a deep ulcer with erythematous surrounding skin. [scielo.br]

  In extreme cases, the cornea can develop punctate epithelial erosions, ulceration, and permanent vision loss. These can be explained due to inadequate opposition of the lid with the globe. [eyewiki.org]

• Eczema

  In light of these numerous presentations, DLE must be considered in the differential diagnosis of refractory chronic blepharoconjunctivitis, eczema, contact dermatitis, and psoriasis(3434 Acharya N, Pineda R 2nd, Uy HS, Foster CS. [scielo.br]

Ten years after the trauma, the patient sought dermatological treatment. A diagnosis of Fonsecaea pedrosoi was confirmed by biopsy, and treatment was initiated. [scielo.br]

After the surgical treatment, the patient reported relief from her ocular symptoms. [hindawi.com]

These adjunct treatments include scar massage, silicone gel, intra-lesional injection of steroids, and antimetabolites. [eyewiki.org]

Cicatricial ectropion is a complication that demands an adjusted and personalized surgical treatment. [ncbi.nlm.nih.gov]

Pyoderma Gangrenosum This is a chronic dermatosis with a remarkably unknown etiology. [scielo.br]

Therefore, an individualized surgical approach based on thorough preoperative evaluation considering the etiology and the predominant location of the ectropion is necessary. [ncbi.nlm.nih.gov]

Etiology Figure 1: A case of post traumatic cicatricial ectropion with corneal scarring There are various causes of anterior lamellar shortening leading to cicatricial ectropion, some of the important causes of cicatricial ectropion include mechanical [eyewiki.org]

Unfortunately, its epidemiology is difficult to determined due to the lack of universally accepted diagnostic criteria(2323 Liu JT, Yeh HM, Liu SY, Chen KT. Psoriatic arthritis: Epidemiology, diagnosis, and treatment. [scielo.br]

Compiling and summarizing the main diseases, conditions, and drugs associated with cicatricial ectropion allows us to approach each etiology holistically and better elucidate the fundamental pathophysiology's involved. [scielo.br]

Primary prevention The time taken by scar to mature and regain 70-80 % tensile strength is 6 –12 months.[2] Adjunct treatments during this period help in scar maturation and prevents the formation of hypertrophic scar. [eyewiki.org]

An example suspect is cetuximab, a monoclonal antibody that binds the epidermal growth factor of cancer and normal epidermal cells to prevent cell-signaling pathways. [scielo.br]