RT Journal Article
SR Electronic
T1 Medial Ectropion Repair of Lower Eyelids With a Cicatricial Component
JF Ochsner Journal
JO Ochsner J
FD O. P. Jindal Global University
SP 122
OP 124
VO 11
IS 2
A1 Richard J. Hesse
YR 2011
UL http://www.ochsnerjournal.org/content/11/2/122.abstract
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.