PT  - JOURNAL ARTICLE
AU  - Hesse, Richard J.
TI  - Medial Ectropion Repair of Lower Eyelids With a Cicatricial Component
DP  - 2011 Jun 20
TA  - Ochsner Journal
PG  - 122--124
VI  - 11
IP  - 2
4099  - http://www.ochsnerjournal.org/content/11/2/122.short
4100  - http://www.ochsnerjournal.org/content/11/2/122.full
SO  - Ochsner J2011 Jun 20; 11
AB  - A new technique for the management of medial ectropion with a mild to moderate cicatricial component is presented that avoids the necessity for skin grafting. A subciliary incision is made inferior to the punctum and extending laterally, followed by preseptal dissection to the orbital rim. A base-up triangle of the posterior lamella is then excised lateral to the punctum. This is closed with a marginal mattress suture. Tightening of the posterior lamella in this fashion produces laxity in the anterior lamella, which can then be closed without tension, eliminating the need for skin grafting.