1. LID MALPOSITIONS Ptosis, Entropion, & Ectropion Dr Anupama Karanth www.ophthalclass.blogspot.com

3. InvolutionalEctropion and Entropion

4. Outward turning of eyelid margin Types Congenital Involutional Paralytic Cicatricial Mechanical Ectropion

5. Most common type in practice - Involutional Primary etiologic factor - Horizontal eyelid laxity Clinical test - The snap test Ectropion

7. The canthi get displaced when lower lid is pulled laterally or mediallyDisplacement of canthi

8. Ectropion – Clinical features

9. Involutionalectropion Ectropion

10. Paralytic ectropion Ectropion Facial palsy

11. Cicatricialectropion Ectropion

12. Mechanical ectropion Ectropion

13. Medial conjunctivoplasty / Medial spindle procedure Ectropion surgery Lateral canthoplasty / Lateral tarsal strip procedure

14. Lazy-T procedure Medial Conjunctivoplasty + Full thickness excision Ectropion surgery

15. Modified Kuhnt-Szymanowski procedure Ectropion Surgery

16. Inversion of eyelid margin Types Congenital Acute spastic Involutional Cicatricial Lower lid involutionalentropion is more common Entropion

17. Involutionalentropion Entropion

18. Involutionalentropion Entropion

19. Lacrimation Recurrent corneal erosions Corneal vascularization Corneal opacities Entropion – Clinical features

20. Transverse lid everting sutures (Quickert sutures) Entropion surgery

21. Margin rotation by transverse tarsotomy (Weis procedure) Lower lid retractor reinsertion with lateral strip procedure Entropion surgery