J Korean Ophthalmol Soc.  2010 Jan;51(1):126-129.

A Case of Acute Idiopathic Bilateral Lower lid Ectropion

• Lee CM
• Kwak MS
• Park DJ

Abstract

Introduction
Ectropion is an eversion of the eyelid due to various causes, and it mainly develops in the lower lid. Usually it shows a slow progression, and it is classified as involutional, cicatricial, paralytic and congenital. Acute idiopathic bilateral lower lid ectropion is very rare; few cases have been reported worldwide, and none have been seen in Korea.
CASE SUMMARY
A 79-year-old male patient visited our department with a six-day history of epiphora and lower lid eversion in both eyes. On slit-lamp examination, lower lid ectropion was present in both eyes, and mild corneal punctate epithelial erosion was also observed. Two weeks after conservative treatment, the lower lid eversion disappeared and the lower lid returned to its original position. No changes were observed three months after treatment. We report a case of acute idiopathic bilateral lower lid ectropion with a literature review.

Keyword

Acute idiopathic ectropion; Lower lid

MeSH Terms

Aged
Ectropion
Eye
Eyelids
Humans
Lacrimal Apparatus Diseases
Male

Figure

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  Figure 1. Photograph at the first visit shows everted lower lid in both eyes.

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  Figure 2. Slit lamp photograph at the first visit shows ectropion of the lower lid and fluorescein staining of the lower lid margin. (A: right eye; B: left eye)

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  Figure 3. Photograph at 2 weeks shows normally positioned both lowerlids

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  Figure 4. Slit lamp photograph at 2 weeks shows the normal position of the lower lid (A: right eye; B: left eye)

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  Figure 5. Photograph at 3 months shows normally positioned both lower lids with no changes

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  Figure 6. Slit lamp photograph at 3 months shows the normal position of the lower lid with no changes. (A: right eye; B: left eye)

Reference

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