👁 H02.11-
CICATRICIAL ECTROPION

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🔵 Lids & Lashes (Ectropion, Abnormality)

🔴 Definition:

Cicatricial Ectropion

▪️bilateral or unilateral lid ectropion caused by scarring or contracture of the skin and underlying tissues (pulls the eyelid away from the globe)
▪️opening the mouth accentuates the eversion
▪️defect may be local (trauma) or general (burns, dermatitis, ichthyosis)

🔘 Clinical Presentation:

▪️conjunctival scarring
▪️conjunctival hyperemia
▪️no skin laxity
▪️tension lines in skin when lid put into position
▪️red exposed conjunctiva
▪️tarsal conjunctival inflammation, ▪️conjunctival thickening, conjunctival keratinization

Signs & Symptoms

▪️epiphora
▪️irritation
▪️dry eye syndrome

🔘 Management:

Surgery

▪️excision of scar tissue combined with lengthening of vertical skin deficiency (if mild localized case)
▪️transposition flaps or free skin grafts (if severe generalized case)

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