👁 H02.11-
CICATRICIAL ECTROPION
www.theeyemanual.org
🔵 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)
![](https://s2.save4k.ru/pic/IL3c3vYAwrM/mqdefault.jpg)