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Medial ectropion: association with lower lacrimal obstruction and combined management.
Ophthalmic Surg. 1986 Sep; 17(9):573-6.OS

Abstract

Nine consecutive patients who presented with a medial ectropion (12 eyelids) and epiphora were prospectively evaluated and surgically managed. Medial ectropion was successfully corrected in all 12 eyelids (mean follow-up 12.2 months). A lateral tarsal strip procedure (Anderson procedure) was used to correct the horizontal lid laxity. Resecting the retractors of the lower lid subjacent to the punctal area corrected the punctal eversion. Prior to medial ectropion repair, three of the 12 eyes demonstrated evidence of complete obstruction at or below the level of the lacrimal sac. These patients required concurrent dacryocystorhinostomy (DCR) in addition to repair of the medial ectropion. DCR with silicone intubation obviated the need for anastomosis of lacrimal sac and nasal mucosal flaps, and it corrected the punctal stenosis. Histopathologic examination of the sac specimens confirmed chronic inflammation. One of six patients without complete obstruction required DCR after medial ectropion repair and punctoplasty. Medial ectropion may predispose to lower lacrimal obstruction. In turn, the epiphora may lead to aggravation of the medial ectropion as a result of wiping of tears.

Authors

No affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

3774279

Citation

O'Donnell, F E.. "Medial Ectropion: Association With Lower Lacrimal Obstruction and Combined Management." Ophthalmic Surgery, vol. 17, no. 9, 1986, pp. 573-6.
O'Donnell FE. Medial ectropion: association with lower lacrimal obstruction and combined management. Ophthalmic Surg. 1986;17(9):573-6.
O'Donnell, F. E. (1986). Medial ectropion: association with lower lacrimal obstruction and combined management. Ophthalmic Surgery, 17(9), 573-6.
O'Donnell FE. Medial Ectropion: Association With Lower Lacrimal Obstruction and Combined Management. Ophthalmic Surg. 1986;17(9):573-6. PubMed PMID: 3774279.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Medial ectropion: association with lower lacrimal obstruction and combined management. A1 - O'Donnell,F E,Jr PY - 1986/9/1/pubmed PY - 2001/3/28/medline PY - 1986/9/1/entrez SP - 573 EP - 6 JF - Ophthalmic surgery JO - Ophthalmic Surg VL - 17 IS - 9 N2 - Nine consecutive patients who presented with a medial ectropion (12 eyelids) and epiphora were prospectively evaluated and surgically managed. Medial ectropion was successfully corrected in all 12 eyelids (mean follow-up 12.2 months). A lateral tarsal strip procedure (Anderson procedure) was used to correct the horizontal lid laxity. Resecting the retractors of the lower lid subjacent to the punctal area corrected the punctal eversion. Prior to medial ectropion repair, three of the 12 eyes demonstrated evidence of complete obstruction at or below the level of the lacrimal sac. These patients required concurrent dacryocystorhinostomy (DCR) in addition to repair of the medial ectropion. DCR with silicone intubation obviated the need for anastomosis of lacrimal sac and nasal mucosal flaps, and it corrected the punctal stenosis. Histopathologic examination of the sac specimens confirmed chronic inflammation. One of six patients without complete obstruction required DCR after medial ectropion repair and punctoplasty. Medial ectropion may predispose to lower lacrimal obstruction. In turn, the epiphora may lead to aggravation of the medial ectropion as a result of wiping of tears. SN - 0022-023X UR - https://www.unboundmedicine.com/medline/citation/3774279/Medial_ectropion:_association_with_lower_lacrimal_obstruction_and_combined_management_ DB - PRIME DP - Unbound Medicine ER -
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