VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION
We describe the treatment of lower eyelid cicatricial ectropion in a 24 year old male using volumizing hyaluronic acid (HA) filler. One milliliter of Juvéderm Voluma was injected directly under the skin in each lower eyelid to create a large bubble. The filler was dissolved with hyaluronidase (750...
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Pan-American Association of Ophthalmology
2017-06-01
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doaj-aabd02e74e114745b23c5872a0ca0aa12020-11-25T00:57:13ZengPan-American Association of OphthalmologyVision Pan-America2219-46652219-46732017-06-01162525410.15234/vpa.v16i2.384280VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPIONMoises Enghelberg0Louis Michaelos1Catalina Ionescu2Tatiana Stingu3Dan Georgescu4Oculoplastic Surgery Department, Nova Southeastern University, Fort Lauderdale, Florida, U.S.AOculoplastic Surgery Department, Nova Southeastern University, Fort Lauderdale, Florida, U.S.AOculoplastic Institute, Bucharest, RomaniaOculoplastic Institute, Bucharest, RomaniaOculoplastic Surgery Department, Nova Southeastern University, Fort Lauderdale, Florida, U.S.A Oculoplastic Institute, Bucharest, RomaniaWe describe the treatment of lower eyelid cicatricial ectropion in a 24 year old male using volumizing hyaluronic acid (HA) filler. One milliliter of Juvéderm Voluma was injected directly under the skin in each lower eyelid to create a large bubble. The filler was dissolved with hyaluronidase (750 I.U. / side) 5 months later, achieving an excellent and stable functional and cosmetic result. There was a 2.4 mm improvement in MRD-2 with the filler in place which decreased to 1.72 mm at 6 months after filler dissolution with hyaluronidase. This resulted in complete resolution of the signs and symptoms of corneal exposure. To date, there have been reports of low density HA injection for the treatment of cicatricial ectropion in elderly patients as well as infants with lamellar ichthyosis. In these cases the HA was injected and left in place to dissolve itself. Our case is the first report of a HA with high G’ properties injected directly under the skin followed by complete dissolution with hyaluronidase once the tissue expansion took place.http://journals.sfu.ca/paao/index.php/journal/article/view/384Hyaluronic AcidCicatricial EctropionTissue Expansion |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Moises Enghelberg Louis Michaelos Catalina Ionescu Tatiana Stingu Dan Georgescu |
spellingShingle |
Moises Enghelberg Louis Michaelos Catalina Ionescu Tatiana Stingu Dan Georgescu VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION Vision Pan-America Hyaluronic Acid Cicatricial Ectropion Tissue Expansion |
author_facet |
Moises Enghelberg Louis Michaelos Catalina Ionescu Tatiana Stingu Dan Georgescu |
author_sort |
Moises Enghelberg |
title |
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION |
title_short |
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION |
title_full |
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION |
title_fullStr |
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION |
title_full_unstemmed |
VOLUMIZING HYALURONIC ACID FILLER AS TEMPORARY TISSUE EXPANDER IN LOWER EYELID CICATRICIAL ECTROPION |
title_sort |
volumizing hyaluronic acid filler as temporary tissue expander in lower eyelid cicatricial ectropion |
publisher |
Pan-American Association of Ophthalmology |
series |
Vision Pan-America |
issn |
2219-4665 2219-4673 |
publishDate |
2017-06-01 |
description |
We describe the treatment of lower eyelid cicatricial ectropion in a 24 year old male using volumizing hyaluronic acid (HA) filler. One milliliter of Juvéderm Voluma was injected directly under the skin in each lower eyelid to create a large bubble. The filler was dissolved with hyaluronidase (750 I.U. / side) 5 months later, achieving an excellent and stable functional and cosmetic result. There was a 2.4 mm improvement in MRD-2 with the filler in place which decreased to 1.72 mm at 6 months after filler dissolution with hyaluronidase. This resulted in complete resolution of the signs and symptoms of corneal exposure. To date, there have been reports of low density HA injection for the treatment of cicatricial ectropion in elderly patients as well as infants with lamellar ichthyosis. In these cases the HA was injected and left in place to dissolve itself. Our case is the first report of a HA with high G’ properties injected directly under the skin followed by complete dissolution with hyaluronidase once the tissue expansion took place. |
topic |
Hyaluronic Acid Cicatricial Ectropion Tissue Expansion |
url |
http://journals.sfu.ca/paao/index.php/journal/article/view/384 |
work_keys_str_mv |
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