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LID MALPOSITIONS Ptosis, Entropion, & Ectropion Dr Anupama Karanth www.ophthalclass.blogspot.com
Result from imbalance between forces on anterior and posterior lamellae of the eyelid Ectropion - Entropion ,[object Object],	  skin and orbicularis ,[object Object],	  tarsus and conjunctiva
InvolutionalEctropion and Entropion
Outward turning of eyelid margin Types Congenital Involutional Paralytic Cicatricial Mechanical Ectropion
Most common type in practice - Involutional Primary etiologic factor - Horizontal eyelid laxity Clinical test - The snap test Ectropion
Snap test Testing lid laxity ,[object Object]
The canthi get displaced when lower lid is pulled laterally or mediallyDisplacement of canthi
Ectropion – Clinical features
Involutionalectropion Ectropion
Paralytic ectropion Ectropion Facial palsy
Cicatricialectropion Ectropion
Mechanical ectropion Ectropion
Medial conjunctivoplasty / Medial spindle procedure Ectropion surgery Lateral canthoplasty / Lateral tarsal strip procedure
Lazy-T procedure Medial Conjunctivoplasty + Full thickness  excision Ectropion surgery
Modified Kuhnt-Szymanowski procedure Ectropion Surgery
Inversion of eyelid margin Types Congenital Acute spastic Involutional Cicatricial Lower lid involutionalentropion is more common  Entropion
Involutionalentropion Entropion
Involutionalentropion Entropion
Lacrimation Recurrent corneal erosions Corneal vascularization Corneal opacities Entropion – Clinical features
Transverse  lid everting sutures (Quickert sutures) Entropion surgery

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Lids and Adnexa Class 2 Part B - Lid malpositions