Severe Post Thermal Burn Cicatricial Ectropion with Corneal Ulceration : An Illustrative Case
Management of postburn cicatricial ectroption of the upper lid is always a challenge for the oculoplastic surgeon, as they are often associated with exposure keratitis and ulceration. Traditionally, split thickness grafts have been described for upper lid reconstruction and tarsorrhaphies have been...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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Nepal Medical Association
2005-07-01
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| Series: | Journal of Nepal Medical Association |
| Online Access: | http://jnma.com.np/jnma/index.php/jnma/article/view/389 |
| Summary: | Management of postburn cicatricial ectroption of the upper lid is always a challenge for the oculoplastic
surgeon, as they are often associated with exposure keratitis and ulceration. Traditionally, split thickness
grafts have been described for upper lid reconstruction and tarsorrhaphies have been discouraged. We
present a case of corneal ulceration associated with postburn cicatricial ectropion presenting 10 years following
the initial trauma. The patient underwent full thickness skin grafting and tarsorrhaphy to release the
ectropion with resolution of corneal ulceration.We believe that full thickness skin grafts and tarsorrhaphy
are effective in correcting upper lid cicatricial ectropion, without functional compromise.
Key Words: Cicatricial ectropion, corneal ulcer, skin graft, tarsorrhaphy
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| ISSN: | 0028-2715 1815-672X |