J Korean Ophthalmol Soc.  2014 Jul;55(7):953-957.

Causes and Treatments of Entropion and Ectropion in Adults

Affiliations
  • 1Myung-Gok Eye Research Institute, Department of Ophthalmology, Konyang University Kim's Eye Hospital, Konyang University College of Medicine, Seoul, Korea. hs0903@kimeye.com

Abstract

PURPOSE
To evaluate the causes and treatments of entropion and ectropion in adults.
METHODS
A retrospective review was performed of 397 patients (490 eyes) with entropion and 109 patients (138 eyes) with ectropion who underwent corrective surgery at Kim's Eye Hospital from January 2009 to December 2012.
RESULTS
The surgical correction of entropion was 3.5 times greater than that of ectropion. The causes of entropion were classified as senile (98.4%), cicatricial (1.4%) and spastic (0.2%). The causes of ectropion were classified as cicatricial (60.1%), paralytic (23.2%) and senile (16.7%).
CONCLUSIONS
The main causes of entropion and ectropion were senile and cicatricial, respectively. Specifically, senile entropion was more common than senile ectropion, which is considered to be related to the lid anatomy of Asian patients.

Keyword

Ectropion; Entropion

MeSH Terms

Adult*
Asian Continental Ancestry Group
Ectropion*
Entropion*
Humans
Muscle Spasticity
Retrospective Studies

Figure

  • Figure 1. Etiology of entropion.

  • Figure 2. Etiology of ectropion.


Reference

References

1. Nesi FA, Gladstone GJ, Brazzo BG, et al. Ophthalmic and facial plastic surgery: a compendium of reconstructive and aesthetic techniques. Thorofare, NJ: Slack Incorporated;2001. p. 83–9.
2. Ha JK, Kim YS, Sohn MA. Surgical treatment of sensile entropion. J Korean Ophthalmol Soc. 1998; 39:631–6.
3. Jones LT, Reeh MJ, Wobig JL. Senile entropion. A new concept for correction. Am J Ophthalmol. 1972; 74:327–9.
4. Clarke JR, Spalton DJ. Treatment of senile entropion with botu-linum toxin. Br J Ophthalmol. 1988; 72:361–2.
Article
5. Irvine S, Francis IC, Bishop AE, Baxter J. The entropion patch: a method of temporarily correcting involutional entropion with adhesive tape. Ophthalmic Surg. 1994; 25:604–6.
Article
6. Kim JY, Kim YD. Surgical correction of senile entropion. J Korean Ophthalmol Soc. 1992; 33:1015–20.
7. Vallabhanath P, Carter SR. Ectropion and entropion. Curr Opin Ophthalmol. 2000; 11:345–51.
Article
8. Hintschich C. Correction of entropion and ectropion. Dev Ophthalmol. 2008; 41:85–102.
Article
9. Piskiniene R. Eyelid malposition: lower lid entropion and ectropion. Medicina (Kaunas). 2006; 42:881–4.
10. Maden A, Söylev MF, Ozkan SB. Acute onset transient ectropion associated with corneal ulcer. Int Ophthalmol. 1997-1998; 21:323–4.
11. Cheung D, Sandramouli S. Consecutive ectropion after the Wies procedure. Ophthal Plast Reconstr Surg. 2004; 20:64–8.
Article
12. Caviggioli F, Klinger F, Villani F, et al. Correction of cicatricial ectropion by autologous fat graft. Aesthetic Plast Surg. 2008; 32:555–7.
Article
13. Gupta B, Parmar B, Raina J, Chawla JS. Acute idiopathic bilateral lower lid ectropion. Indian J Ophthalmol. 2006; 54:212–4.
Article
14. Vallabhanath P, Carter SR. Ectropion and entropion. Curr Opin Ophthalmol. 2000; 11:345–51.
Article
15. Liebau J, Schulz A, Arens A, et al. Management of lower lid ectropion. Dermatol Surg. 2006; 32:1050–6. discussion 1056-7.
Article
16. Vick VL, Holds JB, Hartstein ME, Massry GG. Tarsal strip procedure for the correction of tearing. Ophthal Plast Reconstr Surg. 2004; 20:37–9.
Article
17. Carter SR, Chang J, Aguilar GL, et al. Involutional entropion and ectropion of the asian lower eyelid. Ophthal Plast Reconstr Surg. 2000; 16:45–9.
Article
18. Yun JK, Shim JC, Lee JH, Kim YH. Surgical results of inferior tarsotomy for diffuse lower lid trichiasis. J Korean Ophthalmol Soc. 2002; 43:1123–7.
19. Smith BC. Entroion. In : Nesi FA, Levine MR, Lisman RD, editors. Ophthalmic Plastic and Reconstructive Surgery. 2nd ed.St. Louise: Mosby;1998. chap. 12.
20. White WL, Woog JJ. Lower eyelid malpositions. In : Albert DM, Jacobiec FA, editors. Principles and Practice of Ophthalmology. NewYork: Saunders. 1994. p. 1845–50.
21. MELDRUM ML, TSE DT. Congenital eyelid anomalies, eyelid malpositions, and blepharoptosis. Interactive ophthalmology on CD-ROM-textbook and review. Baltimore: Williams & Wilkins;1997. p. 5191–326.
22. Bashour M, Harvey J. Cause of involutional ectropion and entropion–age-related tarsal changes are key. Ophthal Plast Reconstr Surg. 2000; 16:131–41.
23. Stefanvszvn MA, Hidavat AA, Flanagan JC. The histopathology of involutional ectropion. Ophthalmology. 1985; 92:120–7.
Article
24. Chua J, Choo CT, Seah LL, et al. A 5-year retrospective review of Asian ectropion: how does it compare to ectropion amongst non-Asians. Ann Acad Med Singapore. 2011; 40:84–9.
25. Kim SY, Shin SJ, Yang SW, Han SH. Microscopic anatomy of the lower eyelid in Koreans. J Korean Ophthalmol Soc. 2006; 47:292–6.
Full Text Links
  • JKOS
Actions
Cited
CITED
export Copy
Close
Share
  • Twitter
  • Facebook
Similar articles
Copyright © 2024 by Korean Association of Medical Journal Editors. All rights reserved.     E-mail: koreamed@kamje.or.kr