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Ectropion
Clinical Features
- Symptoms: eye discomfort, corneal dryness and keratopthy or visual loss that may result from improper lid closure.
- Signs:
- Eversion of the lid margin from its normal position
- Usually associated with one of the following conditions:
- Congenital ectropion
- Age-related attenuation of the medial or lateral canthal ligament and lid laxity (involutional ectropion)
- Underlying tissue scaring from burn injury or chronic inflammation of the lid (cicatricial ectropion)
- Orbicularis oculi paresis or facial nerve palsy (paralytic ectropion)
- Eyelid tumor or orbital fat herniation (mechanical ectropion)
Management
- Topical lubrications, ocular moisture chamber or temporary tarsorraphy may be helpful to reduce the ocular symptoms.
- Definitive surgical management of the causative factors is essential to prevent more advance complications.
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