Anterior Lamella Actinic Changes as a Factor in Involutional Eyelid Malposition

Abstract

Actinic damage affecting the anterior lamella of the lower eyelid contributes as an additional factor in final eyelid position in patients with involutional eyelid changes. More severe and extensive actinic changes were present in eyelids with ectropion.

Full-Thickness Skin Graft as an Independent or Adjunctive Technique for Repair of Cicatricial Lower Eyelid Ectropion Secondary to Actinic Skin Changes

“…A retrospective study by Marshall et al 7 previously reported full-thickness lower eyelid shortening as the primary method of correcting lower eyelid ectropion secondary to actinic changes. The details of patient selection, clinical exams, surgical technique, and the outcomes were not specifically addressed.…”

Cicatricial ectropion surgery: a prospective study of long‐term symptom control, patient satisfaction and anatomical success

“…Cicatricial ectropion is common cause of lower lid malposition. Cicatricial changes in the lid are associated with anterior lamellar shortening and may occur secondary to actinic damage, previous lower lid surgery, medications, trauma, burns, tumours, skin disorders or loss of skin elasticity . Cicatricial ectropion can be a disfiguring condition that typically presents with symptoms of ocular irritation, watering, discharge and eversion of the lower eyelid margin.…”

Age-Matched, Case-Controlled Comparison of Clinical Indicators for Development of Entropion and Ectropion

“…Surgical interventions were aimed at addressing each of these features [1–11, 16, 22, 23, 25]. Other studies identified clinical features and compared them to the opposite unaffected lid or against lids with ectropion [29–32]. Very few studies have been done in a comparative manner in patients with entropion versus age-matched controls [21].…”